1134235039 CENTENNIAL MEDICAL GROUP, PA

Family Medicine Physician

Active

Basic Information

Organization Name
CENTENNIAL MEDICAL GROUP, PA
Enumeration Date
August 22, 2006
Last Update
September 18, 2024
Authorized Official
DR. RAJIV DUA MD
MEDICAL DIRECTOR
Phone: (410) 730-3399

Practice Location

Address
6250 OLD DOBBIN LN
COLUMBIA, MD 210455816
Phone
(410) 730-3399
Fax
(443) 478-4737

Mailing Address

Address
6230 OLD DOBBIN LN STE 230
COLUMBIA, MD 210455884
Phone
(410) 730-3399
Fax
(443) 478-4737

Specialties & Taxonomies

Specialty Code Classification License State Primary
Non-Pharmacy Dispensing Site
332900000X Non-Pharmacy Dispensing Site N/A N/A No
Allergy Physician
Allergy
207KA0200X Allergy & Immunology N/A N/A No
Emergency Medicine Physician
207P00000X Emergency Medicine N/A N/A No
Physical Medicine & Rehabilitation Physician
208100000X Physical Medicine & Rehabilitation N/A N/A No
Occupational Medicine Physician
Occupational Medicine
2083X0100X Preventive Medicine N/A N/A No
General Practice Physician
208D00000X General Practice N/A N/A No
Internal Medicine Physician
207R00000X Internal Medicine N/A N/A No
Allergy & Immunology (Internal Medicine) Physician
Allergy & Immunology
207RA0201X Internal Medicine N/A N/A No
Family Medicine Physician
207Q00000X Family Medicine N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
470010400 05 MD N/A
R481 01 MD BCBS

Frequently Asked Questions

What is CENTENNIAL MEDICAL GROUP, PA's NPI number?
CENTENNIAL MEDICAL GROUP, PA's NPI number is 1134235039.
Which doctor has NPI number 1134235039?
The doctor with NPI number 1134235039 is CENTENNIAL MEDICAL GROUP, PA.
What is CENTENNIAL MEDICAL GROUP, PA's practice address?
CENTENNIAL MEDICAL GROUP, PA's practice address is 6250 OLD DOBBIN LN, COLUMBIA, MD, 210455816.
Which doctor practices at 6250 OLD DOBBIN LN, COLUMBIA, MD, 210455816?
CENTENNIAL MEDICAL GROUP, PA practices at 6250 OLD DOBBIN LN, COLUMBIA, MD, 210455816.
What is CENTENNIAL MEDICAL GROUP, PA's mailing address?
CENTENNIAL MEDICAL GROUP, PA's mailing address is 6230 OLD DOBBIN LN STE 230, COLUMBIA, MD, 210455884.
What is CENTENNIAL MEDICAL GROUP, PA's phone number?
CENTENNIAL MEDICAL GROUP, PA's phone number is (410) 730-3399.
Who is (410) 730-3399?
(410) 730-3399 is the phone number for CENTENNIAL MEDICAL GROUP, PA.
What is CENTENNIAL MEDICAL GROUP, PA's specialty?
CENTENNIAL MEDICAL GROUP, PA's specialty is Family Medicine Physician.
What type of doctor is CENTENNIAL MEDICAL GROUP, PA?
CENTENNIAL MEDICAL GROUP, PA is a Family Medicine Physician.
Is CENTENNIAL MEDICAL GROUP, PA a Family Medicine?
Yes, CENTENNIAL MEDICAL GROUP, PA is a Family Medicine.
Is CENTENNIAL MEDICAL GROUP, PA still practicing?
Yes, CENTENNIAL MEDICAL GROUP, PA is currently practicing.
Is CENTENNIAL MEDICAL GROUP, PA accepting new patients?
CENTENNIAL MEDICAL GROUP, PA may be accepting new patients. Please call their office at (410) 730-3399 to inquire about availability.
Is NPI 1134235039 still active?
Yes, NPI 1134235039 is currently active.
Where does CENTENNIAL MEDICAL GROUP, PA practice?
CENTENNIAL MEDICAL GROUP, PA practices in COLUMBIA, MD.