PRAVEEN BOLARUM, MD LLC

FREDERICK, MD
NPI1104395243
Entity TypeOrganization
Authorized ContactPRAVEEN K BOLARUM
Provider
301-694-6688
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2018-11-19
Last Update Date2018-12-06
Business Address
PRAVEEN BOLARUM, MD LLC
3390 URBANA PIKE
FREDERICK, MD 21704-7769
Phone number: 301-810-5415
Mailing Address
PRAVEEN BOLARUM, MD LLC
3390 URBANA PIKE
FREDERICK, MD 21704-7769
Phone number: 301-694-6688