Centennial Medical Group, PA

NPI #1134235039 in Columbia, Maryland

Provider Information

NPI Number: 1134235039
Entity Type: Organization
Organization Name: Centennial Medical Group, PA
Primary Specialty: Family Medicine
Enumeration Date: Aug 22, 2006
Last Updated: Sep 18, 2024

Practice Location

Address: 6250 OLD DOBBIN LN
City: Columbia
State: Maryland
ZIP Code: 21045-5816
Phone: (410) 730-3399

Authorized Official

Name: DR. RAJIV DUA, MD
Title: MEDICAL DIRECTOR
Phone: (410) 730-3399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-Pharmacy Dispensing Site	332900000X
Allergy & Immunology - Allergy — Allergy	207KA0200X
Emergency Medicine	207P00000X
Physical Medicine & Rehabilitation	208100000X
Preventive Medicine - Occupational Medicine — Occupational Medicine	2083X0100X
General Practice	208D00000X
Internal Medicine	207R00000X
Internal Medicine - Allergy & Immunology — Allergy & Immunology	207RA0201X
Family Medicine	207Q00000X	Primary

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