Bolarum, Praveen K
Bolarum, Praveen K is an sole proprietor health care provider with primary practice located at 196 Thomas Johnson Dr Ste 135 , Frederick MD 21702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bolarum, Praveen K can be contacted via phone (301) 694-6688.Contact Information
Primary practice address
196 Thomas Johnson Dr Ste 135
Frederick MD 21702
Phone: (301) 694-6688
Fax: (301) 694-8524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0062223 | Maryland |
Profile Details
| NPI number | 1073575015 |
|---|---|
| LBN Legal business name | Bolarum, Praveen K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Jun 12th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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