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Sundaram, Manickavasagam

CPSO#: 82069

MEMBER STATUS

Active Member as of 10 Dec 2004

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 10 Dec 2004

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: University of Alberta Faculty of Medicin, 2002

Practice Information

Primary Location of Practice

Lakeridge Health
1 Hospital Court
Oshawa ON L1G 2B9
Phone: (905) 576-8711 Ext. 4579
Fax: (905) 721-7763 Electoral District: 05

Additional Practice Location(s)

47 Liberty St S
Bowmanville ON L1C 2N4
Canada
Phone: 9056233331
County: Regional Municipality of Durham
Electoral District: 05

580 Harwood Ave S
Ajax ON L1S2J4
Canada
Phone: 9056832320
County: Regional Municipality of Durham
Electoral District: 05

300 Gordon Street
Whitby ON L1N5T2
Canada
Phone: 9056686831
County: Regional Municipality of Durham
Electoral District: 05

Professional Corporation Information

Corporation Name: M. Sundaram Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Mar 13 2013

Shareholders:
Dr. M. Sundaram ( CPSO# 82069 )

Business Address:
47 Liberty St. S.
Bowmanville ON  L1C 2N4
Phone Number: (905) 623-3331

Business Address:
300 Gordon St.
Whitby ON  L1N 5T2
Phone Number: (905) 668-6831

Business Address:
580 Harwood Ave. S.
Ajax ON  L1S 2J4
Phone Number: (905) 683-2320

Business Address:
Lakeridge Health
1 Hospital Court
Oshawa ON  L1G 2B9
Phone Number: (905) 576-8711

Hospital Privileges

Hospital	Location
Lakeridge Health,Ajax and Pickering Site	Ajax
Lakeridge Health,Clarington Site	Bowmanville
Lakeridge Health,Oshawa General Site	Oshawa
Lakeridge Health,Whitby Site	Whitby

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:21 Jun 2004	CFPC Specialist

Terms and Conditions

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

Registration History

Action	Issue Date
First certificate of registration issued: Independent Practice Certificate	Effective: 10 Dec 2004