Centennial Medical Group, Pa
Family Medicine
6250 Old Dobbin Ln, Columbia
Maryland, 21045-5816
410-730-3399 443-478-4737
Centennial Medical Group, Pa is a Family Medicine in Columbia, Maryland. It is located at 6250 Old Dobbin Ln, Columbia and it's customer support contact number is 410-730-3399. The authorized person of Centennial Medical Group, Pa is Dr. Rajiv Dua, MD who is Medical Director of the pharmacy and his contact number is 410-730-3399. Centennial Medical Group, Pa accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Centennial Medical Group, Pa is 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.
Pharmacy Details:
Centennial Medical Group, Pa type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Centennial Medical Group, Pa |
| Type: | Family Medicine |
| Location: | 6250 Old Dobbin Ln, Columbia,
Maryland, 21045-5816 |
| Phone: | 410-730-3399 |
| Fax: | 443-478-4737 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Rajiv Dua |
| Credentials: | MD |
| Position: | Medical Director |
| Contact Number: | 410-730-3399 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1134235039 |
| NPI Enumeration Date: | 22 Aug, 2006 |
| NPI Last Update On: | 18 Sep, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Centennial Medical Group, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Family Medicine | | | Primary | |
| Non-pharmacy Dispensing Site | | | Secondary | |
| Allergy | | | Secondary | |
| Emergency Medicine | | | Secondary | |
| Physical Medicine & Rehabilitation | | | Secondary | |
| Occupational Medicine | | | Secondary | |
| General Practice | | | Secondary | |
| Internal Medicine | | | Secondary | |
| Allergy & Immunology | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 470010400 | Medicaid | Maryland | |
| R481 | Other | Maryland | Bcbs |
Medicare Enrollment:
Centennial Medical Group, Pa is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2668466038 | O20040409000473 | Centennial Medical Group, Pa | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6230 Old Dobbin Ln Ste 230,
Columbia, Maryland |
| Zip: | 21045-5884 |
| Phone Number: | 410-730-3399 |
| Fax Number: | 443-478-4737 |
Patients can reach Centennial Medical Group, Pa at
6250 Old Dobbin Ln, Columbia, Maryland or can
call on customer care at 410-730-3399.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.