MEDICARE: KHARIA JENAI HOLMES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0101251576	VA
2	207R00000X	Internal Medicine Physician	MD044870	DC
3	207R00000X	Internal Medicine Physician	D76138	MD

General Provider Information

NPI Number	:	1265668347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHARIA JENAI HOLMES MD

Provider Business Mailing Address
First Line	:	1 EMBARCADERO CTR STE 1900
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-3723
Country	:	US
Telephone Number	:	415-658-6791
Fax Number	:	415-252-7176

Provider Business Practice Location Address
First Line	:	911 MEETING ST
Second Line	:
City	:	NORTH BETHESDA
State	:	MD
Zip	:	20852-2375
Country	:	US
Telephone Number	:	888-663-6331
Fax Number	:	415-252-7176

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2009
Last Update Date	:	08/14/2025

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