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Kouchakan, Mohsen

CPSO#: 84624

MEMBER STATUS
Active Member as of 01 Jul 2006
CPSO REGISTRATION CLASS
Independent Practice as of 30 Jun 2007

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English, Farsi

Education:Islamic Azad University, 1993

Practice Information

Primary Location of Practice
Dixon Medical Centre
Suite 306
531 Davis Drive
Newmarket ON  L3Y 6P5
Phone: (905) 235-3701
Fax: (905) 235-3801 Electoral District: 05

Additional Practice Location(s)

9080 Yonge St, level 2, Unit 12
Grand Genesis Health
Richmond Hill ON  L4C 0Y7
Canada
Phone: 289-597-7676
Fax: 289-597-7675
County: Regional Municipality of York
Electoral District: 05

Southlake Regional Health Centre
596 Davis Drive
Newmarket ON  L3Y 2P9
Canada
Phone: (905) 895-4521 Ext. 6269
County: Regional Municipality of York
Electoral District: 05

Professional Corporation Information


Corporation Name: M. Kouchakan Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  Apr 28 2009

Shareholders:
Dr. M. Kouchakan ( CPSO# 84624 )

Business Address:
Southlake Regional Health Centre
596 Davis Drive
Newmarket ON  L3Y 2P9

Business Address:
Suite 306
531 Davis Drive
Newmarket ON  L3Y 6P5

Business Address:
9080 Yonge Street
Richmond Hill ON  L4C 0Y7

Specialties

Specialty Issued On Type
Internal Medicine Effective: 30 Jun 2007 RCPSC Specialist

Terms and Conditions

(1) Dr. MOHSEN KOUCHAKAN may practise only in the areas of medicine in which Dr. KOUCHAKAN is educated and experienced.

Postgraduate Training

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



University of Toronto, 01 Jul 2006 to 30 Jun 2007
PostGrad Yr 4 - Internal Medicine

Registration History

Action Issue Date
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2006
Transfer of class of registration to: Independent Practice Certificate Effective: 30 Jun 2007