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

Centennial Medical Group, PA

Organization Allergy Physician · NPI 1134235039

Centennial Medical Group, PA is an Allergy Physician in Columbia, Maryland. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
9
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6250 Old Dobbin Ln
Columbia, MD 21045-5816
Phone: (410) 730-3399
Fax: (443) 478-4737
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Allergy Physician Taxonomy 207KA0200X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Allergy & Immunology (Internal Medicine) Physician Taxonomy 207RA0201X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Occupational Medicine Physician Taxonomy 2083X0100X
General Practice Physician Taxonomy 208D00000X
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1134235039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rajiv Dua — Medical Director · (410) 730-3399
Other names Centennial Medical Group Multi Specialty; Centennial Medical Group Multi Specialty
NPI enumeratedAugust 22, 2006
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address6230 Old Dobbin Ln Ste 230, Columbia, MD 21045-5884

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