OrganizationActive
Peach State Medical Practice, PC
NPI 1306500665 · Reproductive Endocrinology Physician · Washington, DC
Provider details
- NPI number
- 1306500665
- Entity type
- Organization
- Primary specialty
- Reproductive Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fahimeh Sasan, Founding Obgyn(855) 563-2639
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Practice location
1111 19th St Nw
Washington, DC 20036-3603
Phone: (855) 563-2639
Approximate (ZIP-level) locationGet directions
Mailing address
333 S Desplaines St Ste 201
Chicago, IL 60661-5514
Other names (DBA / former)
- Doing business as
- Kindbody of DC Medical Practice
- Doing business as
- Kindbody of DC Medical Practice
Registry dates
- Enumerated
- 2021-10-23
- Last updated
- 2024-05-20
- Certified
- 2024-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.