NPI 1306500665

Peach State Medical Practice, PC

Organisation Reproductive Endocrinology Physician Washington, DC

Practice location

Address: 1111 19th St NW, Washington, DC 20036-3603
Phone: (855) 563-2639
Mailing address: 333 S Desplaines St STE 201, Chicago, IL 60661-5514

Authorised official

Name: Fahimeh Sasan
Title: Founding Obgyn
Phone: (855) 563-2639

Registered specialties (2)

Reproductive Endocrinology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VE0102X

Other Obstetrics & Gynecology providers in District of Columbia →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Registry record

NPI: 1306500665
Entity type: Organization
NPI issued: 23 Oct 2021
Record last updated: 20 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.