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

Individual provider Family Nurse Practitioner · NPI 1649741158

Maghal M Gorre-Ndiaye is a Nurse Practitioner in Frederick, Maryland. Qualified in 2018, 8 years ago. Practices with Praveen Bolarum MD LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia.

Years since qualifying
8
Licensed in
DC
In the registry since
2018
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Practice location Address checks out

196 Thomas Johnson Dr Ste 135
Frederick, MD 21702-4518
Phone: (301) 200-5639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R183425 (DC)

Record details

NPI number1649741158
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2018
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Praveen Bolarum Md Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Frederick