Centennial Medical Group, PA
Centennial Medical Group, PA is a Family Medicine Physician in Odenton, 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
1425 Annapolis RdOdenton, MD 21113-1012
Phone: (410) 721-2333
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 | 1487393385 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Centennial Medical Group |
| Authorized official | Rajiv Dua — Medical Director · (410) 730-3399 |
| NPI enumerated | May 31, 2022 |
| Last updated in NPPES | September 18, 2024 |
| Certification date | September 18, 2024 |
| Mailing address | 5005 Signal Bell Ln Ste 200, Clarksville, MD 21029-2608 |
Other providers in Odenton
-
Karen S. Clarke-Bennett, DO
1114 Town Center Blvd Ste G, Odenton, MD 21113 · (410) 672-2700
-
Halcyeane Theodora Dardaine, MD
1110 Annapolis Rd, Odenton, MD 21113-1602 · (443) 351-3917
-
Ryane Alexandra Edmonds, MD
1110 Annapolis Rd, Odenton, MD 21113-1602 · (443) 351-3917
-
Patricia Gillen
1106 Annapolis Rd Ste 310, Odenton, MD 21113-1637 · (410) 874-1400