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

Hisham Kaddurah

Individual provider Diagnostic Radiology Physician · NPI 1376004325

Hisham Kaddurah is a Diagnostic Radiology in Goodyear, Arizona. Graduated from Wayne State University School of Medicine in 2018, 8 years ago. Practices with Prime Radiology Consultants PC, a 59-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Trained at
Wayne State University School of Medicine
Licensed in
AZ
In the registry since
2019
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Practice location Address checks out

13677 W McDowell Rd
Goodyear, AZ 85395-2635
Phone: (623) 882-1550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 73706 (AZ)

Record details

NPI number1376004325
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 30, 2019
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 Prime Radiology Consultants P.C. — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Goodyear