Organization
PRAVEEN BOLARUM, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEEN KUMAR BOLARUM M.D. (PARTNER)
(301) 694-6688
Entity
Organization
Contact information
Practice address
196 THOMAS JOHNSON DRIVE, SUITE 225, FREDERICK, MD 21702
(301) 694-6688
(301) 694-8524
Mailing address
196 THOMAS JOHNSON DRIVE, SUITE 225, FREDERICK, MD 21702
(301) 694-6688
(301) 694-8524
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
D0062223
MD
Other
Enumeration date
04/11/2007
Last updated
03/30/2009
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