Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Faraz Ahmad Khan Daha, MD

Individual provider Anesthesiology Physician · NPI 1235545534

Faraz Ahmad Khan Daha, MD is an Anesthesiology in Kenosha, Wisconsin. Qualified in 2010, 16 years ago. Practices with Jacksonville Crnas Inc, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
16
Licensed in
MI, WI
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6815 118th Ave
Kenosha, WI 53142-8420
Phone: (262) 857-5600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 736 Cambridge St, Brighton, MA 02135-2907 — (617) 789-3023

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 2896 (WI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 4301116619 (MI)

Record details

NPI number1235545534
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2014
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Jacksonville Crnas Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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