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
07/08/25 06:29:28 AM

General Information

Former Name: No Former Name
Medical School: American University of the Caribbean, 2010
Gender: Woman
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 3161 Strandherd Drive, Unit 305
Ottawa Ontario K2J 5N1
Business Email: No Information Available
Phone: 613-823-7766
Fax: 613-823-0063
Address: 16 Green Street
16 Green Street
Ottawa Ontario K2J 3R2
Phone: (613) 825-9799
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 02 Mar 2022
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Mar 02 2022
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: Medical record requests should be sent to:

3161 Strandherd Drive
Unit 305
Ottawa, ON, K2J 5N1
Phone: 613-823-7766
Fax: 613-823-0063
Date Received: 13 Apr 2023

Medical Licences In Other Jurisdictions

USA - Michigan

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Dr. M. Kodagoda Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 06 Nov 2014
Shareholders:
Dr. M. Kodagoda (CPSO#: 102875 )
Business Address: 3161 Strandherd Drive, Unit 305
Ottawa ON K2J5N1 613-823-7766

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: American University of the Caribbean, 2010

Practice Information

Primary Business Location: 3161 Strandherd Drive, Unit 305
Ottawa Ontario K2J 5N1
Business Email: No Information Available
Phone: 613-823-7766
Fax: 613-823-0063
Address: 16 Green Street
16 Green Street
Ottawa Ontario K2J 3R2
Phone: (613) 825-9799
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 02 Mar 2022
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Mar 02 2022
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: Medical record requests should be sent to:

3161 Strandherd Drive
Unit 305
Ottawa, ON, K2J 5N1
Phone: 613-823-7766
Fax: 613-823-0063
Date Received: 13 Apr 2023

Medical Licences In Other Jurisdictions

USA - Michigan

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Dr. M. Kodagoda Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 06 Nov 2014
Shareholders:
Dr. M. Kodagoda (CPSO#: 102875 )
Business Address: 3161 Strandherd Drive, Unit 305
Ottawa ON K2J5N1 613-823-7766

Practice Conditions

IMPOSED BY EFFECTIVE DATE EXPIRY DATE STATUS
Registration Committee
27 Nov 2015
Restricted
IMPOSED BY: Registration Committee
EFFECTIVE DATE: Nov 27 2015
EXPIRY DATE:
STATUS: Restricted
A physician who has a restricted licence must follow specific terms and conditions in their practice.
A physician who has a restricted licence must follow specific terms and conditions in their practice.
VIEW DETAILS chevron-down icon
Dr. Manjuli Prashanthi Kodagoda may practise medicine independently in
family medicine.

VIEW DETAILS chevron-down icon
Dr. Manjuli Prashanthi Kodagoda may practise medicine independently in
family medicine.

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: American University of the Caribbean, 2010

Registration History

DETAILS DATE
Terms and conditions amended by Registration Committee. Effective: 27 Nov 2015
First certificate of registration issued: Restricted Certificate Effective: 07 May 2014
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 07 May 2014
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 27 Nov 2015
DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 07 May 2014
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 07 May 2014