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KHAKWANI MEDICAL CORPORATION PC NPI 1700468204


NPI Information

NPI: 1700468204
Provider Name: KHAKWANI MEDICAL CORPORATION, PC

Doing Business As: UNION VILLAGE MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 29D2228045

Address:
1135 VITALITY DR STE 120
HENDERSON, NV
ZIP 89011
Phone: (702) 359-7403
Get Directions

KHAKWANI MEDICAL CORPORATION, PC is a family medicine in Henderson, NV. The provider is 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. KHAKWANI MEDICAL CORPORATION, PC NPI is 1700468204. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Union Village Medical Group.

The provider's business location address is:

1135 VITALITY DR STE 120
HENDERSON, NV
ZIP 89011
Phone: (702) 359-7403
Fax: (702) 765-4748

The provider's authorized official is Harris Khakwani .
The authorized official title is Owner Physician and has the following contact phone number (702) 820-5713.

The CLIA number assigned to this NPI record is 29D2228045 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2021 and was last updated on 8/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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