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1376512244

NPI Code Detail

MEDICARE: RAYMOND TAKASHI KUWAHARA MD

MEDICARE: RAYMOND TAKASHI KUWAHARA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	13156	SD
2	207N00000X	Dermatology Physician	01060228A	IN
3	207N00000X	Dermatology Physician	34102	NE
4	207N00000X	Dermatology Physician	MD-39773	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9290815	OTHER	IN	PHCS PID NUMBER
2	10873474	OTHER	IN	CAQH NUMBER
3	000000360446	OTHER	IN	ANTHEM PROVIDER NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376512244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND TAKASHI KUWAHARA MD

Provider Business Mailing Address
First Line	:	575 N SIOUX POINT ROAD
Second Line	:
City	:	DAKOTA DUNES
State	:	SD
Zip	:	57049-5312
Country	:	US
Telephone Number	:	605-217-2667
Fax Number	:	605-217-2900

Provider Business Practice Location Address
First Line	:	575 N SIOUX POINT ROAD
Second Line	:
City	:	DAKOTA DUNES
State	:	SD
Zip	:	57049-5312
Country	:	US
Telephone Number	:	605-217-2667
Fax Number	:	605-217-2900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	12/10/2025

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Directions to “ RAYMOND TAKASHI KUWAHARA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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