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NPI Code Detail

MEDICARE: DR. TIMOTHY A HOLMES DO

MEDICARE:  DR. TIMOTHY A HOLMES  DO
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
1207R00000XInternal Medicine PhysicianDOSR-738HI

General Provider Information

NPI Number : 1568306207
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY A HOLMES DO
Provider Business Mailing Address
First Line : 1356 LUSITANA ST FL 7
Second Line :
City : HONOLULU
State : HI
Zip : 96813-2409
Country : US
Telephone Number : 808-691-4970
Fax Number :
Provider Business Practice Location Address
First Line : 1356 LUSITANA ST FL 7
Second Line :
City : HONOLULU
State : HI
Zip : 96813-2409
Country : US
Telephone Number : 808-691-4970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “ DR. TIMOTHY A HOLMES DO” Practice Location

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