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KHAKWANI MEDICAL CORPORATION, PC
NPI 1700468204
Family Medicine in Henderson, NV

Active since April 23, 2021
1135 VITALITY DR STE 120, HENDERSON, NV 89011(702) 359-7403(702) 765-4748 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 26, 2025, Aug 14, 2023, May 17, 2021 and 1 more (4 updates tracked since 2021).

About Khakwani Medical Corporation, Pc NPPES

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

KHAKWANI MEDICAL CORPORATION, PC (NPI 1700468204), doing business as Pds Medical Group Union Village, is a healthcare organization registered as a family medicine in Henderson, Nevada and active in the NPI registry since April 2021. The organization lists Valerie Denise Estrada, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1700468204
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKHAKWANI MEDICAL CORPORATION, PC
Location Address1135 VITALITY DR STE 120Henderson, NV 89011
Mailing AddressPo Box 660048Dallas, TX 75266-2901 · (702) 820-5713 · Fax (702) 820-5713
Phone(702) 359-7403
Fax(702) 765-4748
Organization SubpartYes
Authorized OfficialValerie Denise EstradaCredentialing Manager · (469) 718-2768
Enumeration DateApril 23, 2021
Last NPPES UpdateMarch 26, 20254 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1700468204 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.
1135 VITALITY DR STE 120, Henderson, NV 89011
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Other Names 1

Doing Business AsPds Medical Group Union Village

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN A TANIGUCHI
Nurse Practitioner
1135 VITALITY DR STE 120
HENDERSON, NV 89011
Clark County (702) 359-7403
MRS. HARMONY JEAN MCKEE FNP
Nurse Practitioner
1135 VITALITY DR STE 120
HENDERSON, NV 89011
Clark County (702) 359-7403

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 1700468204. It was assigned to this organization in the NPPES registry on April 23, 2021. The provider is doing business as PDS Medical Group Union Village.

Where is Khakwani Medical Corporation, PC located?

Khakwani Medical Corporation, PC is located at 1135 Vitality Dr Ste 120, Henderson, NV 89011. The listed phone number is (702) 359-7403.

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.