Organization
PEACH STATE MEDICAL PRACTICE, PC
Active
Other names
Kindbody of WA Medical Practice, PC
Organization subpart
No
Provider details
NPI number
Authorized official
FAHIMEH SASAN DO (FOUNDING OBGYN)
(855) 563-2639
Entity
Organization
Contact information
Practice address
811 STEWART ST, SEATTLE, WA 98101-1305
(855) 563-2639
Mailing address
333 S DESPLAINES ST STE 201, CHICAGO, IL 60661-5514
(855) 563-2639
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/20/2024
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