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Azadeh, Manizheh

CPSO#: 118476

MEMBER STATUS

Active Member as of 19 Feb 2020

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 19 Feb 2020

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: Azari, English, Farsi

Education: Tabriz University, 1995

Practice Information

Primary Location of Practice

304-430 The Boardwalk
Waterloo ON N2T 0C1
Phone: (519)578-3500
Fax: 519-741-0286 Electoral District: 03

Professional Corporation Information

Corporation Name: Manizheh Azadeh Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Dec 16 2020

Shareholders:
Dr. M. Azadeh ( CPSO# 118476)

Business Address:
430 The Boardwalk
Suite 304
Waterloo ON N2T 0C1

Medical Licences in Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.

Iran
Newfoundland and Labrador

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:04 Dec 2019	CFPC Specialist

Terms and Conditions

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

Registration History

Action	Issue Date
First certificate of registration issued: Restricted certificate	Effective: 01 Jul 2019
Terms and conditions imposed on certificate by Registration Committee	Effective: 01 Jul 2019
Expiry date attached to certificate of registration.	Expiry Date: 30 Jun 2022
Expired: Terms and conditions imposed on certificate by Registration Committee	Effective: 19 Feb 2020
Subsequent certificate of registration Issued: Independent Practice Certificate	Effective: 19 Feb 2020