Healthcare Provider Details

I. General information

NPI: 1114038213
Provider Name (Legal Business Name): JAYME W HOLSTEIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19735 GERMANTOWN RD SUITE 200
GERMANTOWN MD
20874-1214
US

IV. Provider business mailing address

19735 GERMANTOWN RD STE 200
GERMANTOWN MD
20874-1217
US

V. Phone/Fax

Practice location:
  • Phone: 301-540-0811
  • Fax: 301-540-0865
Mailing address:
  • Phone: 301-540-0811
  • Fax: 301-540-0865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0063073
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: