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

Maulik Kantawala, MD

Individual provider Vascular Neurology Physician · NPI 1689236358

Maulik Kantawala, MD is a Neurology in Grand Rapids, Michigan. Qualified in 2018, 8 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Michigan St NE Ste 4297
Grand Rapids, MI 49503-2560
Phone: (616) 267-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Neurology Physician (primary) Taxonomy 2084V0102X · Licence 4301511365 (MI)
Neurology Physician Taxonomy 2084N0400X · Licence 4301511365 (MI)

Record details

NPI number1689236358
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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