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

Dr. Fidaa J M Wishah, MD

Individual provider Pediatric Radiology Physician · NPI 1285936518

Dr. Fidaa J M Wishah, MD is a Diagnostic Radiology in Phoenix, Arizona. Qualified in 2006, 20 years ago. Practices with Arkansas Childrens Professional Services Organization LLC, a 182-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arkansas, Arizona and California.

Years since qualifying
20
Licensed in
AR, AZ, CA
In the registry since
2010
Specialties on file
4
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

1919 E Thomas Rd
Phoenix, AZ 85016
Phone: (602) 933-1213
Fax: (602) 933-1214
Show map & directions

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

Additional practice locations (3)

  • 1 Childrens Way # 104, Little Rock, AR 72202-3500 — (501) 364-1100
  • 300 Pasteur Dr, Stanford, CA 94305 — (650) 723-4000
  • 300 Pasteur Dr, Stanford, CA 94305 — (650) 723-4000

Specialties & licences

Pediatric Radiology Physician (primary) Taxonomy 2085P0229X · Licence 58073 (AZ)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence A153510 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A153510 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence E-15973 (AR)

Record details

NPI number1285936518
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 18, 2010
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Arkansas Childrens Professional Services Organization Llc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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