OrganizationActive
Khakwani Medical Corporation, PC
NPI 1134847965 · Family Medicine Physician · Las Vegas, NV
Provider details
- NPI number
- 1134847965
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Valerie Estrada, Credentialing Manager(469) 718-2768
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10040 Alta Dr Ste 110
Las Vegas, NV 89145
Phone: (702) 960-0689
Fax: (702) 960-1561
Street-level locationGet directions
Mailing address
Po Box 660048
Dallas, TX 75266-2901
Other names (DBA / former)
- Doing business as
- Pds Medical Group Queensridge
Registry dates
- Enumerated
- 2022-08-18
- Last updated
- 2025-03-26
- Certified
- 2025-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.