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

Roham Kashanimoghaddam

Individual provider Dentist · NPI 1841078193

Roham Kashanimoghaddam is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

6258 S Pulaski Rd
Chicago, IL 60629-4610
Phone: (773) 777-6363
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.034372 (IL)

Record details

NPI number1841078193
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023

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