OrganizationActive
Praveen Bolarum, MD LLC
NPI 1104395243 · Family Medicine Physician · Frederick, MD
Provider details
- NPI number
- 1104395243
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Praveen Bolarum, Provider(301) 694-6688
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3390 Urbana Pike
Frederick, MD 21704-7769
Phone: (301) 810-5415
Street-level locationGet directions
Mailing address
3390 Urbana Pike
Frederick, MD 21704-7769
Additional practice locations (1)
- 196 Thomas Johnson Dr Ste 135Frederick, MD 21702-4518Phone: (301) 694-6688
Registry dates
- Enumerated
- 2018-11-19
- Last updated
- 2018-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.