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
25/06/25 04:18:06 AM

General Information

Former Name: No Former Name
Medical School: Schulich School of Medicine and Dentistry, Western University, 2016
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Medical Oncology
Effective: 01 Oct 2021
Royal College of Physicians and Surgeons of Canada
Internal Medicine
Effective: 30 Jun 2020
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Medical Oncology
ISSUED ON: Effective: Oct 01 2021
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Jun 30 2020
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: SURUJBALLI MEDICINE PROFESSIONAL CORPORATION
Certificate of Authorization Status: Inactive End Date: 11 May 2025

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Schulich School of Medicine and Dentistry, Western University, 2016

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Medical Oncology
Effective: 01 Oct 2021
Royal College of Physicians and Surgeons of Canada
Internal Medicine
Effective: 30 Jun 2020
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Medical Oncology
ISSUED ON: Effective: Oct 01 2021
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Jun 30 2020
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: SURUJBALLI MEDICINE PROFESSIONAL CORPORATION
Certificate of Authorization Status: Inactive End Date: 11 May 2025

Practice Conditions

This physician is inactive (Expired, Resigned, Suspended, Revoked, or Deceased) and is not permitted to practise medicine.
This physician is inactive (Expired, Resigned, Suspended, Revoked, or Deceased) and is not permitted to practise 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: Schulich School of Medicine and Dentistry, Western University, 2016

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 22 May 2025
Transfer of class of registration to: Independent Practice Certificate Effective: 21 Apr 2022
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2016
DETAILS: Expired: Resigned from membership.
Date: Effective: 22 May 2025
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 21 Apr 2022
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2016