# KHAKWANI AND MOHAMMAD MEDICAL PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1841100393
- **Authorized official:** SAM RICHARD ROY (CREDENTIALING MANAGER)
- **Authorized official phone:** (469) 868-0730

## Contact information

- **Practice address:** 10861 E SOUTHERN AVE STE 101B, MESA, AZ 85209-3500
- **Practice address phone:** (480) 692-5708
- **Practice address fax:** (480) 525-6519
- **Mailing address:** PO BOX 660046, DALLAS, TX 75266-0046
- **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:** 09/08/2026
- **Last updated:** 09/08/2026