Centennial Medical Group, PA
Centennial Medical Group, PA is a Family Medicine Physician in Clarksville, Maryland. Registered with an NPI since 2023.
- In the registry since
- 2023
- 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
6339 Ten Oaks Rd Ste 100Clarksville, MD 21029-1141
Phone: (410) 730-3399
Fax: (443) 478-4747
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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 | 1336918275 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rajiv Dua — Medical Director · (410) 730-3399 |
| NPI enumerated | December 20, 2023 |
| Last updated in NPPES | September 18, 2024 |
| Certification date | September 18, 2024 |
| Mailing address | 6230 Old Dobbin Ln Ste 230, Columbia, MD 21045-5884 |
Other providers in Clarksville
-
Dr. Lea Lazar, MD
6355 Ten Oaks Rd Ste 202, Clarksville, MD 21029-1184 · (410) 531-1440
-
Lea Lazar, MD, PC
6355 Ten Oaks Rd Ste 202, Clarksville, MD 21029-1185 · (410) 531-1440
-
Lifebridge Community Physicians, Inc
6355 Ten Oaks Rd Ste 202, Clarksville, MD 21029-1185 · (410) 531-1440
-
Garry Henderson Lovins, FNP
5914 Perfect Calm Ct, Clarksville, MD 21029-1259 · (443) 878-8840