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

Dr. Praveen K Bolarum, MD

Individual provider Family Medicine Physician · NPI 1073575015

Dr. Praveen K Bolarum, MD is a Family Practice in Frederick, Maryland. Qualified in 1995, 31 years ago. Practices with Praveen Bolarum MD LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
31
Licensed in
MD
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

196 Thomas Johnson Dr Ste 135
Frederick, MD 21702
Phone: (301) 694-6688
Fax: (301) 694-8524
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence D0062223 (MD)

Record details

NPI number1073575015
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 5, 2006
Last updated in NPPESJune 12, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Praveen Bolarum Md Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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