Peach State Medical Practice, PC
NPI 1174270805ActiveOrganization· Obstetrics & Gynecology, Reproductive Endocrinology· Philadelphia, PA
Obstetrics & Gynecology, Reproductive Endocrinology in Philadelphia, Pennsylvania, registered in NPPES in March 2022. The authorized official on file is Fahimeh Sasan, DO, Founding Obgyn.
Overview
| NPI | 1174270805 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 2, 2022 |
| Last updated in NPPES | May 20, 2024 |
| Certified by provider | May 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology, Reproductive Endocrinology Primary | 207VE0102X | — | — |
| Obstetrics & Gynecology, Gynecology | 207VG0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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