NPI
Maximiliano Andres Tamae Kakazu
NPI 1811134562
Read from the NPPES registry on October 26, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2009-01-16
- Last updated
- 2024-05-20
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Specialties
Licenses
- License MI
- 4301102382
Location
- Practice location
- 4100 Lake Dr SE, Suite 200
- City
- Grand Rapids MI
- Postal code
- 49546-8292
- Phone
- (616) 267-8244
- Fax
- (616) 267-7272
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Internal Medicine, Critical Care Medicine providers in Grand Rapids, MI. 41 with this primary taxonomy in the public file.
Other NPIs in Grand Rapids, MI. 20,911 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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