Organization · Type 2 NPI

Peach State Medical Practice, PC

Reproductive Endocrinology Physician · Charlotte, NC

NPI number 1801544093 Active

Practice location

420 Providence Rd
Charlotte, NC 28207

Call (855) 563-2639 Map

Mailing address

333 S Desplaines St Ste 201
Chicago, IL 60661-5514

Specialties and licenses

Taxonomy	Code	License
Reproductive Endocrinology Physician Primary	207VE0102X	None listed
Gynecology Physician	207VG0400X	None listed

Reproductive Endocrinology Physician: An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

Another provider at this address

Kindbody PCReproductive Endocrinology Physician Charlotte, NC NPI 1669268397

Other reproductive endocrinology physician providers in Charlotte

See all in Charlotte →

NPI record

NPI: 1801544093
Entity type: Organization (Type 2)
Issued: Mar 16, 2022
Last updated: May 20, 2024
Status: Active

Other names

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Kindbody of NC Medical Practice, PC · doing business as
Kindbody of NC Medical Practice, PC · doing business as

Authorized official

Dr. Fahimeh Sasan, DO
Founding Obgyn
(855) 563-2639

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1801544093

Peach State Medical Practice, PC's National Provider Identifier is 1801544093, issued on Mar 16, 2022. The primary taxonomy on file is Reproductive Endocrinology Physician (207VE0102X), and the practice location is in Charlotte, NC. The record was last updated on May 20, 2024.