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

Praveen Bolarum, MD LLC

Organization Hospice and Palliative Medicine (Family Medicine) Physician · NPI 1568685287

Praveen Bolarum, MD LLC is a Hospice and Palliative Medicine (Family Medicine) Physician in Frederick, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

196 Thomas Johnson Dr Ste 225
Frederick, MD 21702
Phone: (301) 694-6688
Fax: (301) 694-8524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X · Licence D0062223 (MD)

Record details

NPI number1568685287
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Praveen Bolarum — Partner · (301) 694-6688
NPI enumeratedApril 11, 2007
Last updated in NPPESMarch 30, 2009
Mailing address196 Thomas Johnson Drive, Suite 225, Frederick, MD 21702

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