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AMERICAN HEALTH NETWORK OF INDIANA LLC NPI 1922119064


NPI Information

NPI: 1922119064
Provider Name: AMERICAN HEALTH NETWORK OF INDIANA, LLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1215 HADLEY RD
SUITE 205
MOORESVILLE, IN
ZIP 46158
Phone: (317) 834-1700
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AMERICAN HEALTH NETWORK OF INDIANA, LLC is a hematology and oncology internal medicine in Mooresville, IN. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. AMERICAN HEALTH NETWORK OF INDIANA, LLC NPI is 1922119064. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1215 HADLEY RD
SUITE 205
MOORESVILLE, IN
ZIP 46158-905
Phone: (317) 834-1700
Fax: (317) 834-1551

The provider's authorized official is Ben H Park .
The authorized official title is President And Ceo and has the following contact phone number (317) 580-6307.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 1/12/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1222750MEDICARE PININDIANA
2100133190KMEDICAIDINDIANA
3DC9693MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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