Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Praveen Bolarum, MD LLC

Organization Family Medicine Physician · NPI 1104395243

Praveen Bolarum, MD LLC is a Family Medicine Physician in Frederick, Maryland. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3390 Urbana Pike
Frederick, MD 21704-7769
Phone: (301) 810-5415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 196 Thomas Johnson Dr Ste 135, Frederick, MD 21702-4518 — (301) 694-6688

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1104395243
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Praveen Bolarum — Provider · (301) 694-6688
NPI enumeratedNovember 19, 2018
Last updated in NPPESDecember 6, 2018
Mailing address3390 Urbana Pike, Frederick, MD 21704-7769

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