Organization
KHAKWANI MEDICAL CORPORATION, PC
Active
Other names
PDS Medical Group Centennial Hills
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE DENISE ESTRADA (MEDICAL CREDENTIALING MANAGER)
(469) 718-2768
Entity
Organization
Contact information
Practice address
6958-B W. ANN RD, LAS VEGAS, NV 89130
(702) 444-2397
(702) 475-9387
Mailing address
PO BOX 660048, DALLAS, TX 75266-2901
(702) 820-5713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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