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

Lifebridge Community Physicians Inc

Organization Internal Medicine Physician · NPI 1366242133

Lifebridge Community Physicians Inc is an Internal Medicine Physician in Randallstown, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5412 Old Court Rd
Randallstown, MD 21133-5104
Phone: (410) 902-0277
Fax: (410) 902-0443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1366242133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Wright-Sisk — Director · (443) 422-9941
Other names Dr. Tahoora Kawaja At Old Court
NPI enumeratedMarch 19, 2025
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address5412 Old Court Rd, Randallstown, MD 21133-5104

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