Individual
RAYMOND TAKASHI KUWAHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 N SIOUX POINT ROAD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Mailing address
575 N SIOUX POINT ROAD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01060228A
IN
207N00000X
Dermatology Physician
Primary
13156
SD
207N00000X
Dermatology Physician
34102
NE
207N00000X
Dermatology Physician
MD-39773
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360446
ANTHEM PROVIDER NUMBER
IN
01
—
10873474
CAQH NUMBER
IN
05
—
200509770
—
IN
01
—
9290815
PHCS PID NUMBER
IN
Enumeration date
03/14/2006
Last updated
12/10/2025
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