NPI 1235545534

Faraz Ahmad Khan Daha, MD

Practitioner Interventional Pain Medicine Physician Kenosha, WI

Practice location

Address: 6815 118th Ave, Kenosha, WI 53142-8420
Phone: (262) 857-5600

Registered specialties (2)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 2896 (WI)

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Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 4301116619 (MI)

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Registry record

NPI: 1235545534
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2014
Record last updated: 6 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.