Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peach State Medical Practice, PC

Organization Obstetrics & Gynecology Physician · NPI 1013647569

Peach State Medical Practice, PC is an Obstetrics & Gynecology Physician in Rogers, Arkansas. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2203 S Promenade Blvd Ste 5185
Rogers, AR 72758-8722
Phone: (855) 563-2639
Fax: (646) 905-0987
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Reproductive Endocrinology Physician (primary) Taxonomy 207VE0102X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1013647569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fahimeh Sasan — Founding Obgyn · (855) 563-2639
Other names Kindbody Of Ak Medical Practice, Pc; Kindbody Of Ak Medical Practice, Pc
NPI enumeratedJune 15, 2022
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address333 S Desplaines St Ste 201, Chicago, IL 60661-5514

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