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Organization
KHAKWANI MEDICAL CORPORATION, PC
Active
Organization
KHAKWANI MEDICAL CORPORATION, PC
Active
Other names
PDS Medical Group Shadow Mountain
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE DENISE ESTRADA (CREDENTIALING MANAGER)
(469) 718-2768
Entity
Organization
Contact information
Practice address
6525 N DECATUR BLVD STE 150B, LAS VEGAS, NV 89131-2993
(702) 979-5903
(702) 984-7315
Mailing address
PO BOX 660048, DALLAS, TX 75266-2901
(702) 820-5713
(702) 820-5713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
03/26/2025
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