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 I MD (PRESIDENT AND CEO)
(317) 580-6309
Entity
Organization
Contact information
Practice address
5250 E US HIGHWAY 36, SUITE 610, AVON, IN 46123-7877
(317) 745-5403
(317) 718-2180
Mailing address
5250 EAST US HIGHWAY 36, SUITE 610, AVON, IN 46123-7877
(317) 745-5403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100133190A
—
IN
Enumeration date
05/22/2006
Last updated
02/15/2011
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