NPI 1104395243

Praveen Bolarum, MD LLC

Organisation Family Medicine Physician Frederick, MD

Practice location

Address: 3390 Urbana Pike, Frederick, MD 21704-7769
Phone: (301) 810-5415

Authorised official

Name: Praveen K Bolarum
Title: Provider
Phone: (301) 694-6688

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Maryland →

Registry record

NPI: 1104395243
Entity type: Organization
NPI issued: 19 Nov 2018
Record last updated: 6 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.