| Centennial Medical Group, Pa | |
|
1425 Annapolis Rd Odenton MD 21113-1012 | |
| (410) 721-2333 | |
| Not Available |
| Full Name | Centennial Medical Group, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1425 Annapolis Rd, Odenton, 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 5005 Signal Bell Ln Ste 200 Clarksville MD 21029-2608 Ph: (410) 730-3399 | Centennial Medical Group, Pa 1425 Annapolis Rd Odenton MD 21113-1012 Ph: (410) 721-2333 |
| NPI Number | 1487393385 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487393385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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