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) 580-6307
Entity
Organization
Contact information
Practice address
1215 HADLEY RD, SUITE 205, MOORESVILLE, IN 46158-2905
(317) 834-1700
(317) 834-1551
Mailing address
6820 PARKDALE PL, SUITE 200, INDIANAPOLIS, IN 46254-6601
(317) 834-5081
(317) 834-5223
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100133190K
—
IN
Enumeration date
08/31/2006
Last updated
01/12/2009
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