Organization
KHAKWANI MEDICAL CORPORATION, PC
Active
Parent organization
KHAKWANI MEDICAL CORPORATION, PC
Other names
PDS Medical Group Union Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
KHAKWANI MEDICAL CORPORATION, PC
Authorized official
VALERIE DENISE ESTRADA (CREDENTIALING MANAGER)
(469) 718-2768
Entity
Organization
Contact information
Practice address
1135 VITALITY DR STE 120, HENDERSON, NV 89011
(702) 359-7403
(702) 765-4748
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
04/23/2021
Last updated
03/26/2025
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