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Praveen Bolarum, MD LLC

Internal Medicine Physician in Clarksburg, MD · enumerated 2018 · authorized official Praveen Bolarum, MD.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780165738

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Registry record

Entity type Organization (Type 2)
Legal business name Praveen Bolarum, MD LLC
Practice address 23310 Frederick Rd, Clarksburg, MD, 20871
Phone (561) 283-1606
Enumeration date Aug 28, 2018
Last updated in NPPES Sep 21, 2018

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Praveen Bolarum
Title MD
Phone (301) 694-6688

Other identifiers

Identifier Type State Issuer
590012300 Medicaid MD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Praveen Bolarum, MD LLC?
The NPI for Praveen Bolarum, MD LLC is 1780165738, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Praveen Bolarum, MD LLC?
NPPES lists Praveen Bolarum (MD) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-09-21.