Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Agatha Matsos Formoso, MD

Individual provider Pediatrics Physician · NPI 1124657036

Dr. Agatha Matsos Formoso, MD is a Pediatrics Physician in Las Vegas, Nevada. Works from 2 locations. Licensed in Nevada.

Licensed in
NV
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2650 N Tenaya Way # 308
Las Vegas, NV 89128-1102
Phone: (702) 870-2099
Fax: (702) 869-5347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1919 E Thomas Rd, Phoenix, AZ 85016-7710 — (602) 933-0945

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 24172 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124657036
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023

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