Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Line Corporation -4 LLC

Organization Internal Medicine Physician · NPI 1639821648

Life Line Corporation -4 LLC is an Internal Medicine Physician in Westminster, Maryland. Works from 3 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

349 Malcolm Dr
Westminster, MD 21157-6106
Phone: (410) 848-2566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2111 Hanover Pike, Hampstead, MD 21074-1319 — (410) 239-7073
  • 295 Stoner Ave Ste 106, Westminster, MD 21157-5663 — (443) 255-3951

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1639821648
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kamal Bangoria — President · (443) 255-3951
NPI enumeratedJanuary 20, 2022
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address1798 Oden Way, Eldersburg, MD 21784-7095

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