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Moazzam, Ambreen

CPSO#: 102206

MEMBER STATUS

Active Member as of 23 Dec 2015

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 23 Dec 2015

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English, Hindi, Urdu

Education: Ziauddin Medical University, 2002

Practice Information

Primary Location of Practice

Thamesview Family Health Team
465 Grand Avenue West
Chatham ON N7M 1C5
Phone: (519) 354-5540
Fax: 519-354-6120 Electoral District: 01

Professional Corporation Information

Corporation Name: Moazzam Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Jan 19 2016

Shareholders:
Dr. A. Moazzam ( CPSO# 102206)

Business Address:
Thamesview Family Health Team
465 Grand Avenue West
Chatham ON N7L 1C5
Phone Number: (519) 354-5540

Hospital Privileges

Hospital	Location
Chatham-Kent Health Alliance	Chatham

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:15 Dec 2015	CFPC Specialist

Terms and Conditions

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

Postgraduate Training

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

Schulich School of Medicine and Dentistr, 22 Oct 2013 to 14 Jan 2014
AVP - Family Medicine

Schulich School of Medicine and Dentistr, 15 Jan 2014 to 30 Jun 2014
PostGrad Yr 1 - Family Medicine

Schulich School of Medicine and Dentistr, 01 Jul 2014 to 21 Oct 2014
PostGrad Yr 1 - Family Medicine

Schulich School of Medicine and Dentistr, 22 Oct 2014 to 30 Jun 2015
PostGrad Yr 2 - Family Medicine

Schulich School of Medicine and Dentistr, 01 Jul 2015 to 21 Oct 2015
PostGrad Yr 2 - Family Medicine

Registration History

Action	Issue Date
First certificate of registration issued: Pre Entry Assessment Program Certificate	Effective: 22 Oct 2013
Transfer of class of registration to: Postgraduate Education Certificate	Effective: 15 Jan 2014
Expired: Terms and conditions of certificate of registration	Expiry: 21 Oct 2015
Subsequent certificate of registration Issued: Independent Practice Certificate	Effective: 23 Dec 2015