Praveen Bolarum, MD LLC
NPI #1780165738 in Clarksburg, Maryland
Provider Information
- NPI Number
- 1780165738
- Entity Type
- Organization
- Organization Name
- Praveen Bolarum, MD LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 28, 2018
- Last Updated
- Sep 21, 2018
Practice Location
- Address
- 23310 FREDERICK RD
- City
- Clarksburg
- State
- Maryland
- ZIP Code
- 20871-9704
- Phone
- (561) 283-1606
Authorized Official
- Name
- PRAVEEN K BOLARUM
- Title
- MD
- Phone
- (301) 694-6688
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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