IndividualActive
Faraz Ahmad Khan Daha, MD
NPI 1235545534 · Interventional Pain Medicine Physician · Kenosha, WI
Provider details
- NPI number
- 1235545534
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301116619 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6815 118th Ave
Kenosha, WI 53142-8420
Phone: (262) 857-5600
Approximate (ZIP-level) locationGet directions
Mailing address
6815 118th Ave
Kenosha, WI 53142-8420
Additional practice locations (1)
- 736 Cambridge StBrighton, MA 02135-2907Phone: (617) 789-3023
Registry dates
- Enumerated
- 2014-07-08
- Last updated
- 2023-10-06
- Certified
- 2023-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.