# KHAKWANI AND MOHAMMAD MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PDS Medical Group Victory
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053239020
- **Authorized official:** SAM RICHARD ROY (MEDICAL CREDENTIALING MANAGER)
- **Authorized official phone:** (469) 868-0730

## Contact information

- **Practice address:** 1545 N VERRADO WAY STE 108B, BUCKEYE, AZ 85396-1868
- **Practice address phone:** (480) 499-1539
- **Practice address fax:** (480) 566-2315
- **Mailing address:** PO BOX 660047, DALLAS, TX 75266-2900
- **Mailing address phone:** (702) 820-5713
- **Mailing address fax:** (775) 467-2466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2026
- **Last updated:** 07/28/2026