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
08/11/24 17:34:21 PM

General Information

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

Practice Information

Primary Business Location: 1690 Dersan Street
Suite 100
Pickering Ontario L1V 2P8
Business Email: No Information Available
Phone: 9056868805
Fax: No Information Available
Address: 580 Harwood Ave S
Lakeridge Health Ajax Pickering Hospital
Emergency department
Ajax ON L1S 2J4
Phone: 9056832320
Fax: No Information Available
Address: 201-451 Paxton St
Lakeridge Health Port Perry Hospital
Emergency department
Port Perry ON L9L 1L9
Phone: 9059857321
Fax: No Information Available
Address: 51 Highway 105
Red Lake Ontario P0V2M0
Phone: 807-727-2231
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 14 Sep 2018
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Sep 14 2018
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Lakeridge Health Ajax and Pickering Site Ajax
Lakeridge Health Clarington Site Bowmanville
Lakeridge Health Scugog Port Perry Site Port Perry
HOSPITAL: Lakeridge Health Ajax and Pickering Site
LOCATION: Ajax

HOSPITAL: Lakeridge Health Clarington Site
LOCATION: Bowmanville

HOSPITAL: Lakeridge Health Scugog Port Perry Site
LOCATION: Port Perry

Professional Corporation Information

Corporation Name: Dr. Fariborz Fazileh Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 01 Oct 2018
Shareholders:
Dr. F. Fazileh (CPSO#: 110808 )

General Information

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

Practice Information

Primary Business Location: 1690 Dersan Street
Suite 100
Pickering Ontario L1V 2P8
Business Email: No Information Available
Phone: 9056868805
Fax: No Information Available
Address: 580 Harwood Ave S
Lakeridge Health Ajax Pickering Hospital
Emergency department
Ajax ON L1S 2J4
Phone: 9056832320
Fax: No Information Available
Address: 201-451 Paxton St
Lakeridge Health Port Perry Hospital
Emergency department
Port Perry ON L9L 1L9
Phone: 9059857321
Fax: No Information Available
Address: 51 Highway 105
Red Lake Ontario P0V2M0
Phone: 807-727-2231
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 14 Sep 2018
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Sep 14 2018
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Lakeridge Health Ajax and Pickering Site Ajax
Lakeridge Health Clarington Site Bowmanville
Lakeridge Health Scugog Port Perry Site Port Perry
HOSPITAL: Lakeridge Health Ajax and Pickering Site
LOCATION: Ajax

HOSPITAL: Lakeridge Health Clarington Site
LOCATION: Bowmanville

HOSPITAL: Lakeridge Health Scugog Port Perry Site
LOCATION: Port Perry

Professional Corporation Information

Corporation Name: Dr. Fariborz Fazileh Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 01 Oct 2018
Shareholders:
Dr. F. Fazileh (CPSO#: 110808 )

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. FARIBORZ FAZILEH may practise only in the areas of medicine in which Dr. FAZILEH is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. FARIBORZ FAZILEH may practise only in the areas of medicine in which Dr. FAZILEH 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: Tehran University of Medical Sciences, 2013

Registration History

DETAILS DATE
Transfer of class of registration to: Independent Practice Certificate Effective: 18 Sep 2018
Transfer of class of registration to: Postgraduate Education Certificate Effective: 12 Dec 2016
First certificate of registration issued: Pre Entry Assessment Program Certificate Effective: 19 Sep 2016
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 18 Sep 2018

DETAILS: Transfer of class of registration to: Postgraduate Education Certificate
Date: Effective: 12 Dec 2016

DETAILS: First certificate of registration issued: Pre Entry Assessment Program Certificate
Date: Effective: 19 Sep 2016