American Health Network Of Indiana, LLC
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Indianapolis, IN. Organization (NPI-2).
NPI number1376668780
StatusActive
Last updated in NPPESJan 8, 2008
Details
- NPI
- 1376668780
- Entity type
- Organization (NPI-2)
- Legal business name
- American Health Network Of Indiana, LLC
- Organization subpart
- Yes
- Enumeration date
- Mar 21, 2007
- Last updated
- Jan 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | – | – | Yes |
| 2084P2900X | Psychiatry & Neurology, Pain Medicine | – | – |
Practice location
6820 Parkdale PlSuite 105
Indianapolis, IN 46254-6601
Phone 317-328-6730 · Fax 317-388-8457
Mailing address
4850 Century Plaza RdSuite 180
Indianapolis, IN 46254-5476
Phone 317-328-6730 · Fax 317-388-8457
Authorized official
Ben H Park
President And Ceo
3175806314
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