NPIMap

Organization Active NPI

Khakwani and Mohammad Medical PC

Doing business as PDS Medical Group Superstition

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1841100393
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KHAKWANI AND MOHAMMAD MEDICAL PC
Doing business as
PDS Medical Group Superstition
Practice address
10861 E Southern Ave Ste 101B
Mesa, AZ 85209-3500
Phone
(480) 692-5708
Fax
(480) 525-6519
NPI assigned
Sep 8, 2026
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sam Richard Roy
Title
Credentialing Manager
Phone
(469) 868-0730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

10861 E Southern Ave Ste 101B
Mesa, AZ 85209-3500

Mailing address

PO Box 660046
Dallas, TX 75266-0046
Phone (702) 820-5713

Other names 1

  • PDS Medical Group Superstition Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Khakwani and Mohammad Med6 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10861 E Southern Ave
Ste 101B
Mesa, AZ 85209

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1841100393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660046",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660046",
            "telephone_number": "702-820-5713",
            "fax_number": "775-467-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 E SOUTHERN AVE STE 101B",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093500",
            "telephone_number": "480-692-5708",
            "fax_number": "480-525-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAKWANI AND MOHAMMAD MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "SAM RICHARD",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "469-868-0730"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDS Medical Group Superstition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.