Organization
LIFE LINE CORPORATION -4 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL G. BANGORIA MD (PRESIDENT)
(443) 255-3951
Entity
Organization
Contact information
Practice address
349 MALCOLM DR, WESTMINSTER, MD 21157-6106
(410) 848-2566
Mailing address
1798 ODEN WAY, ELDERSBURG, MD 21784-7095
(443) 255-3951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
01/20/2022
Last updated
09/10/2025
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