| Centennial Medical Group, Pa | |
|
6339 Ten Oaks Rd Ste 100 Clarksville MD 21029-1141 | |
| (410) 730-3399 | |
| (443) 478-4747 |
| Full Name | Centennial Medical Group, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6339 Ten Oaks Rd Ste 100, Clarksville, Maryland |
| Authorized Official Name and Position | Rajiv Dua (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4107303399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Medical Group, Pa 6230 Old Dobbin Ln Ste 230 Columbia MD 21045-5884 Ph: (410) 730-3399 | Centennial Medical Group, Pa 6339 Ten Oaks Rd Ste 100 Clarksville MD 21029-1141 Ph: (410) 730-3399 |
| NPI Number | 1336918275 |
|---|---|
| Provider Enumeration Date | 12/20/2023 |
| Last Update Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336918275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Nilemed Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6039 Red Clover Ln, Clarksville, MD 21029 Phone: 201-962-0585 | |
Clarksville Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6124 Rippling Tides Ter, Clarksville, MD 21029 Phone: 443-248-1727 Fax: 888-560-5303 | |
Lea Lazar, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6355 Ten Oaks Rd, Suite 202, Clarksville, MD 21029 Phone: 410-531-1440 Fax: 410-531-1412 | |
Integra Clinical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6030 Daybreak Cir Ste A150-183, Clarksville, MD 21029 Phone: 844-856-9355 Fax: 844-856-9355 | |
Dr Lea Lazar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6355 Ten Oaks Rd, Suite 202, Clarksville, MD 21029 Phone: 410-531-1440 Fax: 410-531-1412 | |
Prime Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5005 Signal Bell Ln, Suite 202, Clarksville, MD 21029 Phone: 443-535-8500 Fax: 410-531-1446 |