Faraz Ahmad Khan Daha, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Kenosha, Wisconsin. His current practice location is
6815 118th Ave, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 857-5600.
Faraz Ahmad Khan Daha is licensed to practice in Wisconsin (license number 2896) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235545534.
Physician's Profile
Full Name | Faraz Ahmad Khan Daha |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 6815 118th Ave, Kenosha, Wisconsin |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Faraz Ahmad Khan Daha attended and graduated from in
NPI Data:
- NPI Number: 1235545534
- Provider Enumeration Date: 07/08/2014
- Last Update Date: 10/06/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Faraz Ahmad Khan Daha such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235545534 | NPI | - | NPPES |
100241342 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 4301116619 (Michigan) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 2896 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Faraz Ahmad Khan Daha is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Faraz Ahmad Khan Daha, MD 6815 118th Ave, Kenosha, WI 53142-8420 Ph: (262) 857-5600 | Faraz Ahmad Khan Daha, MD 6815 118th Ave, Kenosha, WI 53142-8420 Ph: (262) 857-5600 |
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