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KHAKWANI MEDICAL CORPORATION, PC
NPI 1134847965
Family Medicine in Las Vegas, NV

Active since August 18, 2022
10040 ALTA DR STE 110, LAS VEGAS, NV 89145(702) 960-0689(702) 960-1561 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 26, 2025, Aug 14, 2023, Aug 18, 2022 (3 updates tracked since 2022).

About Khakwani Medical Corporation, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHAKWANI MEDICAL CORPORATION, PC (NPI 1134847965), doing business as Pds Medical Group Queensridge, is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since August 2022. The organization lists Valerie Denise Estrada, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1134847965
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKHAKWANI MEDICAL CORPORATION, PC
Location Address10040 ALTA DR STE 110Las Vegas, NV 89145
Mailing AddressPo Box 660048Dallas, TX 75266-2901 · (702) 820-5713 · Fax (702) 820-5713
Phone(702) 960-0689
Fax(702) 960-1561
Organization SubpartNo
Authorized OfficialValerie Denise EstradaCredentialing Manager · (469) 718-2768
Enumeration DateAugust 18, 2022
Last NPPES UpdateMarch 26, 20253 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1134847965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10040 ALTA DR STE 110, Las Vegas, NV 89145
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Other Names 1

Doing Business AsPds Medical Group Queensridge

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khakwani Medical Corporation, PC's NPI number?

The NPI number for Khakwani Medical Corporation, PC is 1134847965. It was assigned to this organization in the NPPES registry on August 18, 2022. The provider is doing business as PDS Medical Group Queensridge.

Where is Khakwani Medical Corporation, PC located?

Khakwani Medical Corporation, PC is located at 10040 Alta Dr Ste 110, Las Vegas, NV 89145. The listed phone number is (702) 960-0689.

What is Khakwani Medical Corporation, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Khakwani Medical Corporation, PC was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.