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

Dr. Omar Kaddurah, MD

Individual provider Diagnostic Radiology Physician · NPI 1144715186

Dr. Omar Kaddurah, MD is a Diagnostic Radiology in Orlando, Florida. Graduated from Wayne State University School of Medicine in 2018, 8 years ago. Practices with Henry Ford Medical Group Genesys, a 97-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Florida and Michigan.

Years since qualifying
8
Trained at
Wayne State University School of Medicine
Licensed in
AZ, FL, MI
In the registry since
2018
Specialties on file
3
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

52 Underwood St # 153
Orlando, FL 32806-1110
Phone: (321) 842-8475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13677 W McDowell Rd, Goodyear, AZ 85395-2635 — (623) 882-1500

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME163765 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 69437 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MI)

Record details

NPI number1144715186
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 22, 2018
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Henry Ford Medical Group Genesys — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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