Centennial Medical Group, PA
Centennial Medical Group, PA is a Family Medicine Physician in Ellicott City, Maryland. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10120 Baltimore National PikeEllicott City, MD 21042-3614
Phone: (410) 694-7999
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X |
Record details
| NPI number | 1245953009 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Centennial Medical Group |
| Authorized official | Rajiv Dua — Medical Director · (410) 730-3399 |
| NPI enumerated | September 26, 2022 |
| Last updated in NPPES | September 18, 2024 |
| Certification date | September 18, 2024 |
| Mailing address | 6230 Old Dobbin Ln, Columbia, MD 21045-5803 |
Other providers in Ellicott City
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Allcare of Maryland, LLC
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-
Dr. Lorri-Anne Burke, MD
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-
Bonnie W Catalano, DO
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-
Dr. Sekai Chideya, MD
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-
Kristin Clark, MD
5018 Dorsey Hall Dr Ste 104, Ellicott City, MD 21042-7855 · (410) 730-8288
-
Rhea Craigen, MD
3721 Saint Johns Ln, Ellicott City, MD 21042-5226 · (708) 267-3926
-
Rita Krishan Dhawan, MD
8516 Timber Valley Ct, Ellicott City, MD 21043-6065 · (410) 461-8781