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A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Fertility Facility |
261QA0006X | |||
Family Planning, Non-Surgical |
261QF0050X |
| NPI Number | 1083295638 |
| LBN Legal business name | PEACH STATE MEDICAL PRACTICE, PC |
| Authorized official | FAHIMEH SASAN - (FOUNDING OBGYN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/15/2021 |
| Last updated | 05/20/2024 - About 2 years ago |
| Identifiers | n/a |
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PEACH STATE MEDICAL PRACTICE, PC
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PEACH STATE MEDICAL PRACTICE, PC