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Contact Information

PRAVEEN K BOLARUM, MD
196 THOMAS JOHNSON DR STE 135
FREDERICK, MD21702
 Phone: 301-694-6688
 Fax: 301-694-8524
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PRAVEEN K BOLARUM · (Male)

NPI # 1073575015
Status Active
Credentials MD
Entity Individual
Enumeration date 04/05/2006
Last updated 06/12/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # D0062223
Hospital affiliation(s)
  • FREDERICK MEMORIAL HOSPITAL - (Acute Care)
    400 WEST SEVENTH ST
    FREDERICK, MD 21701
  • GARRETT COUNTY MEMORIAL HOSPITAL - (Acute Care)
    251 NORTH FOURTH STREET
    OAKLAND, MD 21550
  • UPPER CHESAPEAKE MEDICAL CENTER - (Acute Care)
    500 UPPER CHESAPEAKE DRIVE
    BEL AIR, MD 21014
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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