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

Canyon Gate Medical Group, LLC

Organization Internal Medicine Physician · NPI 1831347731

Canyon Gate Medical Group, LLC is an Internal Medicine Physician in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2008.

Licensed in
NV
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3201 S Maryland Pkwy 400
Las Vegas, NV 89109-2441
Phone: (702) 262-1130
Fax: (702) 262-1161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 12804 (NV)

Record details

NPI number1831347731
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricki Moskow — President · (954) 656-8855
NPI enumeratedSeptember 4, 2008
Last updated in NPPESFebruary 5, 2010
Mailing address2929 N University Dr, Suite # 110, Coral Springs, FL 33065-5081

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