Individual
HISHAM KADDURAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(623) 882-1550
Mailing address
PO BOX 18892, BELFAST, ME 04915-4083
(844) 597-5702
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301507319
MI
2085R0202X
Diagnostic Radiology Physician
Primary
73706
AZ
Other
Enumeration date
03/30/2019
Last updated
05/01/2026
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