OrganizationActive
Peach State Medical Practice, PC
NPI 1801544093 · Reproductive Endocrinology Physician · Charlotte, NC
Provider details
- NPI number
- 1801544093
- 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
- Gynecology Physician207VG0400X
Allopathic & Osteopathic Physicians
Practice location
420 Providence Rd
Charlotte, NC 28207
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 Nc Medical Practice, PC
- Doing business as
- Kindbody of Nc Medical Practice, PC
Registry dates
- Enumerated
- 2022-03-16
- 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.