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Organization

KHAKWANI AND MOHAMMAD MEDICAL PC

Active
Other names
PDS Medical Group North Mesa
Organization subpart
No

Provider details

NPI number
Authorized official
VALERIE DENISE ESTRADA (CREDENTIALING MANAGER)
(469) 718-2768
Entity
Organization

Contact information

Practice address
1310 E MCKELLIPS RD # 105B, MESA, AZ 85203-2722
(480) 690-6959
(480) 447-7235
Mailing address
PO BOX 660047, DALLAS, TX 75266-2900
(702) 820-5713

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363A00000X
Physician Assistant

Other

Enumeration date
03/18/2024
Last updated
03/26/2025
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