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Organization

AMERICAN HEALTH NETWORK OF INDIANA, LLC

Active
Parent organization
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Authorized official
BEN H PARK MD (PRESIDENT AND CEO)
(317) 580-6314
Entity
Organization

Contact information

Practice address
1115 RONALD REAGAN PKWY, SUITE 360, AVON, IN 46123-6910
(317) 272-7013
Mailing address
4850 CENTURY PLAZA RD, SUITE 180, INDIANAPOLIS, IN 46254-5476
(317) 291-0184

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100216850J
IN
Enumeration date
10/28/2008
Last updated
10/28/2008
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