PRAVEEN K BOLARUM

FREDERICK, MD
NPI1073575015
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MD  D0062223)
Enumeration Date2006-04-05
Last Update Date2018-06-12
Business Address
Dr. PRAVEEN K BOLARUM M.D.
196 THOMAS JOHNSON DR STE 135
FREDERICK, MD 21702
Phone number: 301-694-6688
Mailing Address
Dr. PRAVEEN K BOLARUM M.D.
196 THOMAS JOHNSON DR STE 135
FREDERICK, MD 21702-4518
Phone number: 301-694-6688
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