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CENTENNIAL MEDICAL GROUP, PA
NPI 1487393385
Family Medicine in Odenton, MD

Active since May 31, 2022
1425 ANNAPOLIS RD, ODENTON, MD 21113(410) 721-2333 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centennial Medical Group, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTENNIAL MEDICAL GROUP, PA (NPI 1487393385) is a healthcare organization registered as a family medicine in Odenton, Maryland and active in the NPI registry since May 2022. The organization lists Rajiv Dua, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1487393385
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTENNIAL MEDICAL GROUP, PA
Location Address1425 ANNAPOLIS RDOdenton, MD 21113-1012
Mailing Address5005 Signal Bell Ln Ste 200Clarksville, MD 21029-2608 · (410) 730-3399
Phone(410) 721-2333
Organization SubpartYesParent: Centennial Medical Group
Authorized OfficialRajiv DuaMedical Director · (410) 730-3399
Enumeration DateMay 31, 2022
Last NPPES UpdateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
✔ NPI 1487393385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
1425 ANNAPOLIS RD, Odenton, MD 21113
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FIRST CALL MEDICAL CENTER LLC
Clinic/Center (Urgent Care)
1425 ANNAPOLIS RD
ODENTON, MD 21113
Anne Arundel County (410) 721-2333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centennial Medical Group, PA's NPI number?

The NPI number for Centennial Medical Group, PA is 1487393385. It was assigned to this organization in the NPPES registry on May 31, 2022.

Where is Centennial Medical Group, PA located?

Centennial Medical Group, PA is located at 1425 Annapolis Rd, Odenton, MD 21113. The listed phone number is (410) 721-2333.

What is Centennial Medical Group, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Centennial Medical Group, PA was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.