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LIFE LINE CORPORATION -4 LLC
NPI 1942099247
Internal Medicine in Hampstead, MD

Active since May 02, 2025
2111 HANOVER PIKE, HAMPSTEAD, MD 21074(443) 255-3951 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Life Line Corporation -4 Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE LINE CORPORATION -4 LLC (NPI 1942099247) is a healthcare organization registered as an internal medicine in Hampstead, Maryland and active in the NPI registry since May 2025. The organization lists Kamal Gordhanbhai Bangoria, Owner, as its authorized official.

NPPES Registry Identity

NPI1942099247
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLIFE LINE CORPORATION -4 LLC
Location Address2111 HANOVER PIKEHampstead, MD 21074-1319
Mailing Address1798 Oden WayEldersburg, MD 21784-7095 · (443) 255-3951
Phone(443) 255-3951
Organization SubpartNo
Authorized OfficialKamal Gordhanbhai BangoriaOwner · (410) 848-2566
Enumeration DateMay 2, 2025
NPPES CertifiedMay 2, 2025
✔ NPI 1942099247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2111 HANOVER PIKE, Hampstead, MD 21074
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIXIE LEE COLGAN CRNP
Nurse Practitioner (Family)
2111 HANOVER PIKE
HAMPSTEAD, MD 21074
Carroll County (410) 374-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Line Corporation -4 LLC's NPI number?

The NPI number for Life Line Corporation -4 LLC is 1942099247. It was assigned to this organization in the NPPES registry on May 2, 2025.

Where is Life Line Corporation -4 LLC located?

Life Line Corporation -4 LLC is located at 2111 Hanover Pike, Hampstead, MD 21074. The listed phone number is (443) 255-3951.

What is Life Line Corporation -4 LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Life Line Corporation -4 LLC was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.