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Organization
KHAKWANI MEDICAL CORPORATION, PC
Active
Organization
KHAKWANI MEDICAL CORPORATION, PC
Active
Other names
PDS Medical Group South Las Vegas
Organization subpart
No
Provider details
NPI number
Authorized official
SAM RICHARD ROY (CREDENTIALING MANAGER)
(469) 868-0730
Entity
Organization
Contact information
Practice address
7425-B S. RAINBOW BLVD, LAS VEGAS, NV 89139
(702) 208-9378
(702) 302-4038
Mailing address
PO BOX 660046, DALLAS, TX 75266-0046
(702) 820-5713
(775) 467-2466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/25/2026
Last updated
09/04/2026
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