| Khakwani Medical Corporation, Pc | |
|
1135 Vitality Dr Ste 120 Henderson NV 89011 | |
| (702) 359-7403 | |
| (702) 765-4748 |
| Full Name | Khakwani Medical Corporation, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1135 Vitality Dr Ste 120, Henderson, Nevada |
| Authorized Official Name and Position | Valerie Denise Estrada (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4697182768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khakwani Medical Corporation, Pc Po Box 660048 Dallas TX 75266-2901 Ph: (702) 820-5713 | Khakwani Medical Corporation, Pc 1135 Vitality Dr Ste 120 Henderson NV 89011 Ph: (702) 359-7403 |
| NPI Number | 1700468204 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 03/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700468204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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