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
25/04/25 23:54:25 PM

General Information

Former Name: Khami, Maryam Maria (Used Until: 17 May 2018)
Medical School: Schulich School of Medicine and Dentistry, Western University, 2015
Gender: Woman
Languages Spoken: ENGLISH, FRENCH, FARSI

Practice Information

Primary Business Location: Health Science Addit.
London Ontario N6G 2V4
Business Email: No Information Available
Phone: (519) 685-8500
Fax: No Information Available
Address: 100 - 2555 St Joseph Blvd
Orléans Ontario K1C 1S6
Phone: (613) 830-1298
Fax: No Information Available
Address: Perth and Smith Falls Hospital
33 Drummond St W
Perth Ontario K7H 2K1
Phone: (613) 267-1500
Fax: (613) 264-0365

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine (Emergency Medicine)
Effective: 15 Oct 2018
College of Family Physicians of Canada
Family Medicine
Effective: 19 Jun 2017
College of Family Physicians of Canada
SPECIALTY: Family Medicine (Emergency Medicine)
ISSUED ON: Effective: Oct 15 2018
CERTIFYING BODY: College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 19 2017
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Maria Keller Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 18 Apr 2019
Shareholders:
Dr. M. Keller (CPSO#: 106236 )
Business Address: Queensway Carleton Hospital
100-3045 Baseline Road
Nepean Ontario K2H 8P4 (613) 721-2000
Business Address: Perth and Smith Falls Hospital
33 Drummond Street West
Perth Ontario K7H 2K1 (613) 267-1500
Business Address: 100-2555 St. Joseph Boulevard
Orléans Ontario K1C 1S6 (613) 830-1298

General Information

Former Name: Khami, Maryam Maria (Used Until: 17 May 2018)
Gender: Woman
Languages Spoken: ENGLISH, FRENCH, FARSI
Medical School: Schulich School of Medicine and Dentistry, Western University, 2015

Practice Information

Primary Business Location: Health Science Addit.
London Ontario N6G 2V4
Business Email: No Information Available
Phone: (519) 685-8500
Fax: No Information Available
Address: 100 - 2555 St Joseph Blvd
Orléans Ontario K1C 1S6
Phone: (613) 830-1298
Fax: No Information Available
Address: Perth and Smith Falls Hospital
33 Drummond St W
Perth Ontario K7H 2K1
Phone: (613) 267-1500
Fax: (613) 264-0365

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine (Emergency Medicine)
Effective: 15 Oct 2018
College of Family Physicians of Canada
Family Medicine
Effective: 19 Jun 2017
College of Family Physicians of Canada
SPECIALTY: Family Medicine (Emergency Medicine)
ISSUED ON: Effective: Oct 15 2018
CERTIFYING BODY: College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 19 2017
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Maria Keller Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 18 Apr 2019
Shareholders:
Dr. M. Keller (CPSO#: 106236 )
Business Address: Queensway Carleton Hospital
100-3045 Baseline Road
Nepean Ontario K2H 8P4 (613) 721-2000
Business Address: Perth and Smith Falls Hospital
33 Drummond Street West
Perth Ontario K7H 2K1 (613) 267-1500
Business Address: 100-2555 St. Joseph Boulevard
Orléans Ontario K1C 1S6 (613) 830-1298

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. MARYAM MARIA KELLER may practise only in the areas of medicine in which Dr. KELLER is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. MARYAM MARIA KELLER may practise only in the areas of medicine in which Dr. KELLER 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: Schulich School of Medicine and Dentistry, Western University, 2015

Registration History

DETAILS DATE
Transfer of class of registration to: Independent Practice Certificate Effective: 22 Jun 2017
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2015
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 22 Jun 2017
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2015