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
18/04/25 00:13:59 AM

General Information

Former Name: No Former Name
Medical School: Zagazig University Faculty of Medicine, 1999
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: Thunder Bay Regional Health Sciences Centre
980 Oliver Rd
Thunder Bay ON P7B 6V4
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available
Address: 146 Court St S
Superior Urology Clinic
Thunder Bay ON P7B 2X6
Phone: No Information Available
Fax: No Information Available
Address: Zagazig University Hospitals
Surgery/ Urology
Koliat Al TOB St, Shaibet an Nakareyah
Zagazig Ash Sharqia Governorate Egypt 44519
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Urology
Effective: 03 Jun 2022
College of Physicians and Surgeons of Ontario
SPECIALTY: Urology
ISSUED ON: Effective: Jun 03 2022
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Medical Records Location

Instructions/Address: Superior Urology Clinic
146 Court St. S.
Thunder Bay, ON
P7B2X6
Date Received: 20 Aug 2022

Hospital Privileges

HOSPITAL LOCATION
Lake of the Woods District Hospital Kenora
Riverside Health Care Facilities Fort Frances
Dryden Regional Health Centre Dryden
Thunder Bay Regional Health Sciences Centre Thunder Bay
HOSPITAL: Lake of the Woods District Hospital
LOCATION: Kenora
HOSPITAL: Riverside Health Care Facilities
LOCATION: Fort Frances
HOSPITAL: Dryden Regional Health Centre
LOCATION: Dryden
HOSPITAL: Thunder Bay Regional Health Sciences Centre
LOCATION: Thunder Bay

Professional Corporation Information

Corporation Name: WALID SHABANA MEDICINE PROFESSIONAL CORPORATION
Certificate of Authorization Status: Issued Date: 06 Jul 2022
Shareholders:
Dr. W. Shabana (CPSO#: 139414 )
Business Address: 319 Clearwater Way
Thunder Bay ON P7B 7B7

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Zagazig University Faculty of Medicine, 1999

Practice Information

Primary Business Location: Thunder Bay Regional Health Sciences Centre
980 Oliver Rd
Thunder Bay ON P7B 6V4
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available
Address: 146 Court St S
Superior Urology Clinic
Thunder Bay ON P7B 2X6
Phone: No Information Available
Fax: No Information Available
Address: Zagazig University Hospitals
Surgery/ Urology
Koliat Al TOB St, Shaibet an Nakareyah
Zagazig Ash Sharqia Governorate Egypt 44519
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Urology
Effective: 03 Jun 2022
College of Physicians and Surgeons of Ontario
SPECIALTY: Urology
ISSUED ON: Effective: Jun 03 2022
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Medical Records Location

Instructions/Address: Superior Urology Clinic
146 Court St. S.
Thunder Bay, ON
P7B2X6
Date Received: 20 Aug 2022

Hospital Privileges

HOSPITAL LOCATION
Lake of the Woods District Hospital Kenora
Riverside Health Care Facilities Fort Frances
Dryden Regional Health Centre Dryden
Thunder Bay Regional Health Sciences Centre Thunder Bay
HOSPITAL: Lake of the Woods District Hospital
LOCATION: Kenora
HOSPITAL: Riverside Health Care Facilities
LOCATION: Fort Frances
HOSPITAL: Dryden Regional Health Centre
LOCATION: Dryden
HOSPITAL: Thunder Bay Regional Health Sciences Centre
LOCATION: Thunder Bay

Professional Corporation Information

Corporation Name: WALID SHABANA MEDICINE PROFESSIONAL CORPORATION
Certificate of Authorization Status: Issued Date: 06 Jul 2022
Shareholders:
Dr. W. Shabana (CPSO#: 139414 )
Business Address: 319 Clearwater Way
Thunder Bay ON P7B 7B7

Practice Conditions

IMPOSED BY EFFECTIVE DATE EXPIRY DATE STATUS
Registration Committee
03 Jun 2022
02 Jun 2029
Restricted
IMPOSED BY: Registration Committee
EFFECTIVE DATE: Jun 03 2022
EXPIRY DATE: Jun 02 2029
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
1. Dr. WALID MANSOUR AMIN SHABANA may practise medicine only,

(i) in a setting that is approved by the Chair, Department of Surgery, Division of Clinical Sciences, Northern Ontario School of Medicine, in which Dr. SHABANA holds an academic appointment at the rank of Assistant Professor, and

(ii) in accordance with the requirements of his academic appointment.

2. The certificate of registration automatically expires seven years from the date of issuance or when Dr. SHABANA no longer holds the academic appointment in accordance with clause 1, whichever comes first.

3. The certificate of registration automatically expires upon the following events, unless the Registration Committee renews the certificate with or without additional or other terms, conditions and limitations:

(i) the College receives a report indicating that Dr. SHABANA’s clinical performance, knowledge, skill, judgment, professional conduct, or academic progress is unsatisfactory, or

(ii) the Committee does not receive an annual report or receives a report that is unsatisfactory in form or content, or

(iii) when the Committee makes a decision about Dr. SHABANA’s certificate of registration, following consideration of the practice assessment report.

Note: This certificate is issued on 03 June, 2022. In accordance with paragraphs 2 and 3 above, this certificate will, if not extended by the Registration Committee, automatically expire on 02 June, 2029.
VIEW DETAILS chevron-down icon
1. Dr. WALID MANSOUR AMIN SHABANA may practise medicine only,

(i) in a setting that is approved by the Chair, Department of Surgery, Division of Clinical Sciences, Northern Ontario School of Medicine, in which Dr. SHABANA holds an academic appointment at the rank of Assistant Professor, and

(ii) in accordance with the requirements of his academic appointment.

2. The certificate of registration automatically expires seven years from the date of issuance or when Dr. SHABANA no longer holds the academic appointment in accordance with clause 1, whichever comes first.

3. The certificate of registration automatically expires upon the following events, unless the Registration Committee renews the certificate with or without additional or other terms, conditions and limitations:

(i) the College receives a report indicating that Dr. SHABANA’s clinical performance, knowledge, skill, judgment, professional conduct, or academic progress is unsatisfactory, or

(ii) the Committee does not receive an annual report or receives a report that is unsatisfactory in form or content, or

(iii) when the Committee makes a decision about Dr. SHABANA’s certificate of registration, following consideration of the practice assessment report.

Note: This certificate is issued on 03 June, 2022. In accordance with paragraphs 2 and 3 above, this certificate will, if not extended by the Registration Committee, automatically expire on 02 June, 2029.

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: Zagazig University Faculty of Medicine, 1999

Registration History

DETAILS DATE
First certificate of registration issued: Restricted Certificate Effective: 03 Jun 2022
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 03 Jun 2022
Arrow_iconExpiry date attached to certificate of registration. Expiry: 02 Jun 2029
DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 03 Jun 2022
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 03 Jun 2022
DETAILS: Expiry date attached to certificate of registration by Registration Committee.
Date: Expiry: 02 Jun 2029