Life Line Corporation -4 LLC

NPI #1942099247 in Hampstead, Maryland

Provider Information

NPI Number: 1942099247
Entity Type: Organization
Organization Name: Life Line Corporation -4 LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 2, 2025
Last Updated: May 2, 2025

Practice Location

Address: 2111 HANOVER PIKE
City: Hampstead
State: Maryland
ZIP Code: 21074-1319
Phone: (443) 255-3951

Authorized Official

Name: KAMAL GORDHANBHAI BANGORIA, MD
Title: OWNER
Phone: (410) 848-2566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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