# KHAKWANI AND MOHAMMAD MEDICAL PC

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

## Provider details

- **NPI number:** 1134997471
- **Authorized official:** VALERIE DENISE ESTRADA (CREDENTIALING MANAGER)
- **Authorized official phone:** (469) 718-2768

## Contact information

- **Practice address:** 13869 W BELL RD STE 103B, SURPRISE, AZ 85374-2468
- **Practice address phone:** (623) 600-4466
- **Practice address fax:** (623) 748-6440
- **Mailing address:** PO BOX 660047, DALLAS, TX 75266-2900
- **Mailing address phone:** (702) 820-5713
- **Mailing address fax:** (702) 820-5713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 12/15/2023
- **Last updated:** 03/26/2025