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

Peach State Medical Practice, PC

Organization Reproductive Endocrinology Physician · NPI 1174270805

Peach State Medical Practice, PC is a Reproductive Endocrinology Physician in Philadelphia, Pennsylvania. 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

1414 Walnut St
Philadelphia, PA 19102-3824
Phone: (855) 563-2639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Reproductive Endocrinology Physician (primary) Taxonomy 207VE0102X
Gynecology Physician Taxonomy 207VG0400X

Record details

NPI number1174270805
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fahimeh Sasan — Founding Obgyn · (855) 563-2639
Other names Kindbody Of Pa Medical Practice, Pc; Kindbody Of Pa Medical Practice, Pc
NPI enumeratedMarch 2, 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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