Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Other names
Dr. Tahoora Kawaja at Old Court
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
5412 OLD COURT RD, RANDALLSTOWN, MD 21133-5104
(410) 902-0277
(410) 902-0443
Mailing address
5412 OLD COURT RD, RANDALLSTOWN, MD 21133-5104
(410) 902-0277
(410) 902-0443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up