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
04/05/25 04:53:05 AM

General Information

Former Name: No Former Name
Medical School: University of New England College of Osteopathic Medicine, 2019
Gender: Man
Languages Spoken: ENGLISH, FARSI

Practice Information

Primary Business Location: 5-380 King St N
Waterloo ON N2J 2Z3
Business Email: No Information Available
Phone: 5195798858
Fax: No Information Available
Address: 911 Queens Blvd
St. Mary's Hospital
Emergency Department
Kitchener ON N2M 1B2
Phone: (519) 744-3311
Fax: No Information Available
Address: 8-35 King St W
Grand River Hospital
Emergency Department
Kitchener ON N2G 1A1
Phone: (519) 749-4300
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 07 Sep 2022
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Sep 07 2022
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Grand River Hospital Corporation Kitchener
St Mary's General Hospital Kitchener
HOSPITAL: Grand River Hospital Corporation
LOCATION: Kitchener
HOSPITAL: St Mary's General Hospital
LOCATION: Kitchener

Professional Corporation Information

Corporation Name: Dr. Khashayar Farzam Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 24 Apr 2023
Shareholders:
Dr. K. Farzam (CPSO#: 130002 )
Business Address: 911 Queens Blvd
Kitchener ON N2M 1B2
Business Address: 5-380 King St N
Waterloo ON N2J 2Z3
Business Address: 8-35 King St W
Kitchener ON N2G 1A1

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, FARSI
Medical School: University of New England College of Osteopathic Medicine, 2019

Practice Information

Primary Business Location: 5-380 King St N
Waterloo ON N2J 2Z3
Business Email: No Information Available
Phone: 5195798858
Fax: No Information Available
Address: 911 Queens Blvd
St. Mary's Hospital
Emergency Department
Kitchener ON N2M 1B2
Phone: (519) 744-3311
Fax: No Information Available
Address: 8-35 King St W
Grand River Hospital
Emergency Department
Kitchener ON N2G 1A1
Phone: (519) 749-4300
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 07 Sep 2022
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Sep 07 2022
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Grand River Hospital Corporation Kitchener
St Mary's General Hospital Kitchener
HOSPITAL: Grand River Hospital Corporation
LOCATION: Kitchener
HOSPITAL: St Mary's General Hospital
LOCATION: Kitchener

Professional Corporation Information

Corporation Name: Dr. Khashayar Farzam Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 24 Apr 2023
Shareholders:
Dr. K. Farzam (CPSO#: 130002 )
Business Address: 911 Queens Blvd
Kitchener ON N2M 1B2
Business Address: 5-380 King St N
Waterloo ON N2J 2Z3
Business Address: 8-35 King St W
Kitchener ON N2G 1A1

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. KHASHAYAR FARZAM may practise only in the areas of medicine in which Dr. FARZAM is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. KHASHAYAR FARZAM may practise only in the areas of medicine in which Dr. FARZAM 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 New England College of Osteopathic Medicine, 2019

Registration History

DETAILS DATE
First certificate of registration issued: Independent Practice Certificate Effective: 13 Sep 2022
DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 13 Sep 2022