Healthcare Provider Details

I. General information

NPI: 1093770513
Provider Name (Legal Business Name): CYNTHIA MASALUNGA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 SHADOW LN
LAS VEGAS NV
89106-4119
US

IV. Provider business mailing address

620 SHADOW LN
LAS VEGAS NV
89106-4119
US

V. Phone/Fax

Practice location:
  • Phone: 702-671-8525
  • Fax:
Mailing address:
  • Phone: 702-671-8525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number11403
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: