THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
27/04/25 05:56:28 AM

General Information

Former Name: No Former Name
Medical School: University of Toronto, 2013
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 339 Windermere Rd #219
University Hospital - London Health Sciences Centre
London ON N6G 2J9
Business Email: No Information Available
Phone: (519) 685-8500
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Cardiology
Effective: 23 Sep 2020
Royal College of Physicians and Surgeons of Canada
Internal Medicine
Effective: 29 May 2018
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Cardiology
ISSUED ON: Effective: Sep 23 2020
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: May 29 2018
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
Thunder Bay Regional Health Sciences Centre Thunder Bay
Windsor Regional Hospital Windsor
St Mary's General Hospital Kitchener
Chatham-Kent Health Alliance Chatham
London Health Sciences Centre Victoria Hospital London
London Health Sciences Centre London
St Joseph's Health Care, London London
Guelph General Hospital Guelph
Tillsonburg District Memorial Hospital Tillsonburg
HOSPITAL: Thunder Bay Regional Health Sciences Centre
LOCATION: Thunder Bay
HOSPITAL: Windsor Regional Hospital
LOCATION: Windsor
HOSPITAL: St Mary's General Hospital
LOCATION: Kitchener
HOSPITAL: Chatham-Kent Health Alliance
LOCATION: Chatham
HOSPITAL: London Health Sciences Centre Victoria Hospital
LOCATION: London
HOSPITAL: London Health Sciences Centre
LOCATION: London
HOSPITAL: St Joseph's Health Care, London
LOCATION: London
HOSPITAL: Guelph General Hospital
LOCATION: Guelph
HOSPITAL: Tillsonburg District Memorial Hospital
LOCATION: Tillsonburg

Professional Corporation Information

Corporation Name: M. Phung Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 15 Oct 2020
Shareholders:
Dr. L. Phung (CPSO#: 103223 ) Dr. P. Antiperovitch (CPSO#: 100783 )
Business Address: 268 Grosvenor Street
St. Joseph's Health Care
B3-102
London Ontario N6A 3N3
Business Address: 339 Windermere Road
Room B9-105
LONDON ON N6A5A5 519-865-8500 Extn: 33024

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: University of Toronto, 2013

Practice Information

Primary Business Location: 339 Windermere Rd #219
University Hospital - London Health Sciences Centre
London ON N6G 2J9
Business Email: No Information Available
Phone: (519) 685-8500
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Cardiology
Effective: 23 Sep 2020
Royal College of Physicians and Surgeons of Canada
Internal Medicine
Effective: 29 May 2018
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Cardiology
ISSUED ON: Effective: Sep 23 2020
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: May 29 2018
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
Thunder Bay Regional Health Sciences Centre Thunder Bay
Windsor Regional Hospital Windsor
St Mary's General Hospital Kitchener
Chatham-Kent Health Alliance Chatham
London Health Sciences Centre Victoria Hospital London
London Health Sciences Centre London
St Joseph's Health Care, London London
Guelph General Hospital Guelph
Tillsonburg District Memorial Hospital Tillsonburg
HOSPITAL: Thunder Bay Regional Health Sciences Centre
LOCATION: Thunder Bay
HOSPITAL: Windsor Regional Hospital
LOCATION: Windsor
HOSPITAL: St Mary's General Hospital
LOCATION: Kitchener
HOSPITAL: Chatham-Kent Health Alliance
LOCATION: Chatham
HOSPITAL: London Health Sciences Centre Victoria Hospital
LOCATION: London
HOSPITAL: London Health Sciences Centre
LOCATION: London
HOSPITAL: St Joseph's Health Care, London
LOCATION: London
HOSPITAL: Guelph General Hospital
LOCATION: Guelph
HOSPITAL: Tillsonburg District Memorial Hospital
LOCATION: Tillsonburg

Professional Corporation Information

Corporation Name: M. Phung Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 15 Oct 2020
Shareholders:
Dr. L. Phung (CPSO#: 103223 ) Dr. P. Antiperovitch (CPSO#: 100783 )
Business Address: 268 Grosvenor Street
St. Joseph's Health Care
B3-102
London Ontario N6A 3N3
Business Address: 339 Windermere Road
Room B9-105
LONDON ON N6A5A5 519-865-8500 Extn: 33024

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. PAVEL ANTIPEROVITCH may practise only in the areas of medicine in which Dr. ANTIPEROVITCH is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. PAVEL ANTIPEROVITCH may practise only in the areas of medicine in which Dr. ANTIPEROVITCH is educated and experienced.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: University of Toronto, 2013

Registration History

DETAILS DATE
Transfer of class of registration to: Independent Practice Certificate Effective: 12 Jun 2018
Subsequent certificate of registration issued: Postgraduate Education Certificate Effective: 30 May 2017
Expired: Terms and conditions of certificate of registration Effective: 03 Apr 2017
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2013
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 12 Jun 2018
DETAILS: Subsequent certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 30 May 2017
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 03 Apr 2017
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2013