DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRAVEEN BOLARUM, MD LLC

Active Organization

PRAVEEN BOLARUM, MD LLC is a Family Medicine organization located in FREDERICK, Maryland. NPI 1104395243 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FREDERICK, MD

Registration Details

NPI Number
1104395243
Provider Type
Organization
NPI Issued
Nov 19, 2018 (7.7548301843844 yrs)
Last Updated
Dec 6, 2018

Practice Information

Address
3390 URBANA PIKE
FREDERICK, MD, 217047769
Browse MD providers · Browse ZIP 21704
Phone
3018105415
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.