# KHAKWANI AND MOHAMMAD MEDICAL PC

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

## Provider details

- **NPI number:** 1558231423
- **Authorized official:** VALERIE DENISE ESTRADA (MEDICAL CREDENTIALING MANAGER)
- **Authorized official phone:** (469) 718-2768

## Contact information

- **Practice address:** 4445 S MILLER RD STE 105B, BUCKEYE, AZ 85326-7663
- **Practice address phone:** (480) 319-9596
- **Practice address fax:** (480) 240-9343
- **Mailing address:** PO BOX 660047, DALLAS, TX 75266-2900
- **Mailing address phone:** (702) 820-5713

## Taxonomy

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

## Other

- **Enumeration date:** 11/06/2025
- **Last updated:** 11/06/2025