Provider Demographics
NPI:1518945260
Name:MATSUNAGA-KIRGAN, MARSHA L (MD)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:L
Last Name:MATSUNAGA-KIRGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3016 W CHARLESTON BLVD
Mailing Address - Street 2:STE 205
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1963
Mailing Address - Country:US
Mailing Address - Phone:702-968-4347
Mailing Address - Fax:702-382-5388
Practice Address - Street 1:UMC - L&D 7TH FLR.
Practice Address - Street 2:1800 W CHARLESTON BLVD
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2329
Practice Address - Country:US
Practice Address - Phone:702-671-2300
Practice Address - Fax:702-671-2333
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
NV8284207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVCS09244OtherPHARMACY/CDS
NV002018469Medicaid
NV002018469Medicaid
NV002018469Medicaid
NVCS09244OtherPHARMACY/CDS