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KHAKWANI MEDICAL CORPORATION, PC
NPI 1235851510
Family Medicine in Las Vegas, NV

Active since September 14, 2022
6525 N DECATUR BLVD STE 150B, LAS VEGAS, NV 89131(702) 979-5903(702) 984-7315 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2025, Aug 14, 2023, Sep 14, 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 1235851510), doing business as Pds Medical Group Shadow Mountain, is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since September 2022. The organization lists Valerie Denise Estrada, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1235851510
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKHAKWANI MEDICAL CORPORATION, PC
Location Address6525 N DECATUR BLVD STE 150BLas Vegas, NV 89131-2993
Mailing AddressPo Box 660048Dallas, TX 75266-2901 · (702) 820-5713 · Fax (702) 820-5713
Phone(702) 979-5903
Fax(702) 984-7315
Organization SubpartNo
Authorized OfficialValerie Denise EstradaCredentialing Manager · (469) 718-2768
Enumeration DateSeptember 14, 2022
Last NPPES UpdateMarch 26, 20253 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1235851510 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.

6525 N DECATUR BLVD STE 150B, Las Vegas, NV 89131
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Other Names 1

Doing Business AsPds Medical Group Shadow Mountain

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 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 1235851510. It was assigned to this organization in the NPPES registry on September 14, 2022.

Where is Khakwani Medical Corporation, PC located?

Khakwani Medical Corporation, PC is located at 6525 N Decatur Blvd Ste 150B, Las Vegas, NV 89131. The listed phone number is (702) 979-5903.

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 with the weekly NPPES data releases published by CMS.