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Keller, Maryam Maria

CPSO#: 106236

MEMBER STATUS

Active Member as of 01 Jul 2015

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 22 Jun 2017

Summary

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Former Name: Khami, Maryam Maria (used until: 17 May 2018 )

Gender: Female

Languages Spoken: English, Farsi, French

Education: Schulich School of Medicine and Dentistr, 2015

Practice Information

Primary Location of Practice

Queensway Carleton Hospital
3045 Baseline Rd
Suite 100
Nepean ON K2H8P4
Phone: 613-721-2000 Electoral District: 07

Additional Practice Location(s)

100 - 2555 St Joseph Blvd
Orléans ON K1C 1S6
Canada
Phone: (613) 830-1298
County: Regional Municipality of Ottawa-Carleton
Electoral District: 07

Perth and Smith Falls Hospital
33 Drummond St W
Perth ON K7H 2K1
Canada
Phone: (613) 267-1500
Fax: (613) 264-0365
County: County of Lanark
Electoral District: 07

Professional Corporation Information

Corporation Name: Maria Keller Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Apr 18 2019

Shareholders:
Dr. M. Keller ( CPSO# 106236)

Business Address:
Queensway Carleton Hospital
100-3045 Baseline Road
Nepean ON  K2H 8P4
Phone Number: (613) 721-2000

Business Address:
100-2555 St. Joseph Boulevard
Orléans ON  K1C 1S6
Phone Number: (613) 830-1298

Business Address:
Perth and Smith Falls Hospital
33 Drummond Street West
Perth ON  K7H 2K1
Phone Number: (613) 267-1500

Hospital Privileges

Hospital	Location
Perth and Smiths Falls District Hospital	Perth
Queensway Carleton Hospital	Ottawa
South Huron Hospital Association	Exeter

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:19 Jun 2017	CFPC Specialist
Family Medicine (Emergency Medicine)	Effective:15 Oct 2018	CFPC Specialist

Terms and Conditions

(1) Dr. MARYAM MARIA KELLER may practise only in the areas of medicine in which Dr. KELLER is educated and experienced.

Postgraduate Training

Please note: This information may not be a complete record of postgraduate training.

University of Ottawa, 01 Jul 2015 to 30 Jun 2016
PostGrad Yr 1 - Family Medicine

University of Ottawa, 01 Jul 2016 to 30 Jun 2017
PostGrad Yr 2 - Family Medicine

University of Ottawa, 01 Jul 2017 to 30 Jun 2018
PostGrad Yr 3 - Family Medicine (Emergency Medicine)

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 01 Jul 2015
Transfer of class of registration to: Independent Practice Certificate	Effective: 22 Jun 2017