Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PRAVEEN K BOLARUM, M.D.
Active Sole ProprietorDR. PRAVEEN K BOLARUM, M.D. is a Family Medicine healthcare provider located in FREDERICK, Maryland. NPI 1073575015 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FREDERICK, MD
Registration Details
- NPI Number
- 1073575015
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2006 (20.347584436449 yrs)
- Last Updated
- Jun 12, 2018
- License
-
D0062223 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
196 THOMAS JOHNSON DR STE 135FREDERICK, MD, 21702Browse MD providers · Browse ZIP 21702
- Phone
- 3016946688
- Fax
- 3016948524
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in FREDERICK, MD
| Name | Credential | NPI |
|---|---|---|
| DR. MELISSA M ASUNCION X | MD | 1396749834 |
| JENNIFER CANCINO | MD | 1780676353 |
| BARBARA ANN BROOKMYER | M.D. | 1548259203 |
| DR. HANNA SIWIEC | M.D. | 1053301168 |
| DIANA JULIANO | M.D. | 1932190485 |
| REBECCA A HERMAN-SMITH | D.O. | 1447241997 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.