Praveen Bolarum, MD LLC
NPI 1104395243 · Family Medicine Physician · Frederick, MD
Praveen Bolarum, MD LLC is a Family Medicine Physician organization in Frederick, MD (NPI 1104395243).
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
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
Mailing address
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
Frequently asked questions
- What is Praveen Bolarum, MD LLC's NPI number?
- Praveen Bolarum, MD LLC's National Provider Identifier (NPI) is 1104395243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Praveen Bolarum, MD LLC?
- Praveen Bolarum, MD LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Praveen Bolarum, MD LLC located?
- Praveen Bolarum, MD LLC's practice location on file with NPPES is 3390 Urbana Pike, Frederick, MD 21704-7769.
- What is Praveen Bolarum, MD LLC's phone number?
- The practice phone number listed in the NPPES registry for Praveen Bolarum, MD LLC is (301) 810-5415.
- Who is the authorized official for Praveen Bolarum, MD LLC?
- The authorized official listed on Praveen Bolarum, MD LLC's NPPES record is Praveen Bolarum, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Praveen Bolarum, MD LLC's NPI active?
- Yes — Praveen Bolarum, MD LLC's NPI (1104395243) is active in the NPPES registry as of the last update on 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.