PRAVEEN BOLARUM, MD LLC (NPI# 1568685287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568685287 |
| Entity Type | Organization |
| Organization Name | PRAVEEN BOLARUM, MD LLC |
| Practice Address |
196 Thomas Johnson Drive Suite 225 Frederick MD 21702 |
| Practice Telephone | 3016946688 |
| Practice Fax Number | 3016948524 |
| Mailing Telephone | 3016946688 |
| Mailing Fax Number | 3016948524 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2009-03-30 |
| Authorized Official Name | DR. PRAVEEN KUMAR BOLARUM (PARTNER) |
| Authorized Official Telephone | 3016946688 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
D0062223 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780165738 | Praveen Bolarum, Md LLC | Internal Medicine | 23310 Frederick Rd, Clarksburg, MD 20871-9704 | 2018-08-28 |
| 1104395243 | Praveen Bolarum, Md LLC | Family Medicine | 3390 Urbana Pike, Frederick, MD 21704-7769 | 2018-11-19 |
| Street Address |
196 THOMAS JOHNSON DRIVE SUITE 225 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841209053 | John L Krumpotich Dds Fagd Pa | Dentist | 196 Thomas Johnson Drive, Suite 130, Frederick, MD 21702 | 2006-08-05 |
| 1326102856 | Michael Raboy | Dentist | 196 Thomas Johnson Drive, Frederick, MD 21702 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689872731 | Frederick Health Hospital Inc | Family Medicine | 516 Trail Ave, Frederick, MD 21701-4933 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811230436 | Daniel Handel | Family Medicine | 13505 Haddonfield Ln, Gaithersburg, MD 20878-3622 | 2013-04-02 |
| 1184849218 | Ralph Lane Wroth | Family Medicine | 301 Bay St, Suite 401, Easton, MD 21601-2721 | 2007-04-16 |
| 1376894931 | Seasons Medical Group of Maryland PC | Family Medicine | 5457 Twin Knolls Rd, Ste 100, Columbia, MD 21045-3259 | 2012-09-24 |
| 1255598827 | Rockville Geriatrics and Palliative Medicine, LLC | Family Medicine | 11119 Rockville Pike, Suite G-100, Rockville, MD 20852-3143 | 2008-05-20 |
| 1760673669 | Carroll Hospice, Inc. | Family Medicine | 292 Stoner Ave, Westminster, MD 21157-5629 | 2007-08-06 |
| 1750598454 | Daniel E. Snow, M.d., Gaithersburg Family Pracitce, PC | Family Medicine | 15001 Dufief Mill Rd, North Potomac, MD 20878-2599 | 2007-05-16 |
| 1578770004 | Carlo E Gopez | Family Medicine | 138 Cathedral St, Elkton, MD 21921-5562 | 2007-05-16 |
| 1689881120 | Meridian Primary Care LLC | Family Medicine | 138 Cathedral St, Elkton, MD 21921-5562 | 2007-05-16 |
| 1427261171 | Mohina Singh Chhabra | Family Medicine | 6334 Cedar Ln, Columbia, MD 21044-3818 | 2007-05-08 |
| 1336216134 | Christopher D. Kearney | Family Medicine | 201 E University Pkwy, Suite 415, Baltimore, MD 21218-2829 | 2006-11-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PRAVEEN BOLARUM, MD LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.