PRAVEEN BOLARUM, MD LLC
NPI 1780165738
Internal Medicine in Clarksburg, MD

Active since August 28, 2018
23310 FREDERICK RD, CLARKSBURG, MD 20871(561) 283-1606 Get Directions Write a Review

NPPES record last updated: September 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2018, Aug 28, 2018 (2 updates tracked since 2018).

About Praveen Bolarum, Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAVEEN BOLARUM, MD LLC (NPI 1780165738) is a healthcare organization registered as an internal medicine in Clarksburg, Maryland and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Frederick and lists Praveen K Bolarum, Md, as its authorized official.

NPPES Registry Identity

NPI1780165738
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRAVEEN BOLARUM, MD LLC
Location Address23310 FREDERICK RDClarksburg, MD 20871-9704
Mailing Address196 Thomas Johnson Dr Ste 135Frederick, MD 21702-4518 · (561) 283-1606
Organization SubpartNo
Authorized OfficialPraveen K BolarumMd · (301) 694-6688
Enumeration DateAugust 28, 2018
Last NPPES UpdateSeptember 21, 20182 updates tracked since enumeration
NPI 1780165738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
23310 FREDERICK RD, Clarksburg, MD 20871

Secondary Practice Location 1

Location 1196 Thomas Johnson Dr Ste 135Frederick, MD 21702-4518 · Phone (561) 283-1606

Other Identifiers 1

Medicaid590012300MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
23310 FREDERICK RD
CLARKSBURG, MD 20871

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Praveen Bolarum, MD LLC's NPI number?

The NPI number for Praveen Bolarum, MD LLC is 1780165738. It was assigned to this organization in the NPPES registry on August 28, 2018.

Where is Praveen Bolarum, MD LLC located?

Praveen Bolarum, MD LLC is located at 23310 Frederick Rd, Clarksburg, MD 20871. The listed phone number is (561) 283-1606.

What is Praveen Bolarum, MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Praveen Bolarum, MD LLC was last updated on September 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.