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
30/06/25 06:08:49 AM

General Information

Former Name: No Former Name
Medical School: Sri Siddhartha Medical College, 2022
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 1030 Ouellette Avenue
Windsor Regional Hospital – Ouellette Campus
Windsor Ontario N9A 1E1
Business Email: No Information Available
Phone: (519) 254-5577
Fax: No Information Available
Address: 194 Talbot Street West
Erie Shores HealthCare Ontario N8H 3X2
Phone: (519) 326-2373
Fax: No Information Available
Address: 1400 Windsor Avenue
Canadian Mental Health Association
Windsor Ontario N8X 3L9
Phone: (519) 255-7440
Fax: No Information Available
Address: 875 Ouellette Avenue
Downtown Mission
Windsor Ontario N9A 4J6
Phone: (519) 973-5573
Fax: No Information Available
Address: 355 Church Street
The Salvation Army
Windsor Ontario N9A 7G9
Phone: (519) 253-7473
Fax: No Information Available
Address: 964 Wyandotte Street East
Homeless Hub
Windsor Ontario N9A 3J9
Phone: (519) 977-9200
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Psychiatry
Effective: 02 Oct 2024
College of Physicians and Surgeons of Ontario
SPECIALTY: Psychiatry
ISSUED ON: Effective: Oct 02 2024
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: IBRAHIM SAMY SHAFFIULLHA MEDICINE PROFESSIONAL CORPORATION
Certificate of Authorization Status: Issued Date: 05 Feb 2025
Shareholders:
Dr. M. Shaffiullha (CPSO#: 266626 )
Business Address: 1030 Ouellette Avenue
Windsor Regional Hospital – Ouellette Campus
Windsor Ontario N9A 1E1

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Sri Siddhartha Medical College, 2022

Practice Information

Primary Business Location: 1030 Ouellette Avenue
Windsor Regional Hospital – Ouellette Campus
Windsor Ontario N9A 1E1
Business Email: No Information Available
Phone: (519) 254-5577
Fax: No Information Available
Address: 194 Talbot Street West
Erie Shores HealthCare Ontario N8H 3X2
Phone: (519) 326-2373
Fax: No Information Available
Address: 1400 Windsor Avenue
Canadian Mental Health Association
Windsor Ontario N8X 3L9
Phone: (519) 255-7440
Fax: No Information Available
Address: 875 Ouellette Avenue
Downtown Mission
Windsor Ontario N9A 4J6
Phone: (519) 973-5573
Fax: No Information Available
Address: 355 Church Street
The Salvation Army
Windsor Ontario N9A 7G9
Phone: (519) 253-7473
Fax: No Information Available
Address: 964 Wyandotte Street East
Homeless Hub
Windsor Ontario N9A 3J9
Phone: (519) 977-9200
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Psychiatry
Effective: 02 Oct 2024
College of Physicians and Surgeons of Ontario
SPECIALTY: Psychiatry
ISSUED ON: Effective: Oct 02 2024
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: IBRAHIM SAMY SHAFFIULLHA MEDICINE PROFESSIONAL CORPORATION
Certificate of Authorization Status: Issued Date: 05 Feb 2025
Shareholders:
Dr. M. Shaffiullha (CPSO#: 266626 )
Business Address: 1030 Ouellette Avenue
Windsor Regional Hospital – Ouellette Campus
Windsor Ontario N9A 1E1

Practice Conditions

IMPOSED BY EFFECTIVE DATE EXPIRY DATE STATUS
Registration Committee
14 Apr 2025
01 Oct 2027
Restricted
IMPOSED BY: Registration Committee
EFFECTIVE DATE: Apr 14 2025
EXPIRY DATE: Oct 01 2027
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. MOHAMMED SHAFFIULLHA may practise psychiatry with the following locations, while under supervision coordinated by a supervisor acceptable to the College:

(i) Windsor Regional Hospital in Windsor, Ontario;

(ii) Erie Shores Healthcare in Leamington, Ontario;

(iii) Canadian Mental Health Association in Windsor, Ontario;

(iv) Downtown Mission in Windsor, Ontario;

(v) The Salvation Army in Windsor, Ontario; and

(vi) Homeless Hub in Windsor, Ontario.

2. The certificate of registration automatically expire on October 1, 2027, or when Dr. SHAFFIULLHA’s eligibility to take the Royal College of Physicians and Surgeons of Canada examination expires, 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 supervisor notifies the College of any concerns regarding Dr. SHAFFIULLHA’s knowledge, skill, judgment or attitude, does not provide the required reports to the College by the due date or if the reports are unsatisfactory in form or content, or

(ii) the supervisor is no longer able or willing to continue to supervise Dr. SHAFFIULLHA’s practice.

Note: This certificate is issued on 02 October, 2024, and will expire on or before 01 October, 2027, in accordance with paragraphs 2 and 3 above.
VIEW DETAILS chevron-down icon
1. Dr. MOHAMMED SHAFFIULLHA may practise psychiatry with the following locations, while under supervision coordinated by a supervisor acceptable to the College:

(i) Windsor Regional Hospital in Windsor, Ontario;

(ii) Erie Shores Healthcare in Leamington, Ontario;

(iii) Canadian Mental Health Association in Windsor, Ontario;

(iv) Downtown Mission in Windsor, Ontario;

(v) The Salvation Army in Windsor, Ontario; and

(vi) Homeless Hub in Windsor, Ontario.

2. The certificate of registration automatically expire on October 1, 2027, or when Dr. SHAFFIULLHA’s eligibility to take the Royal College of Physicians and Surgeons of Canada examination expires, 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 supervisor notifies the College of any concerns regarding Dr. SHAFFIULLHA’s knowledge, skill, judgment or attitude, does not provide the required reports to the College by the due date or if the reports are unsatisfactory in form or content, or

(ii) the supervisor is no longer able or willing to continue to supervise Dr. SHAFFIULLHA’s practice.

Note: This certificate is issued on 02 October, 2024, and will expire on or before 01 October, 2027, in accordance with paragraphs 2 and 3 above.

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: Sri Siddhartha Medical College, 2022

Registration History

DETAILS DATE
Terms and conditions amended by Registration Committee. Effective: 14 Apr 2025
Arrow_iconExpiry date attached to certificate of registration. Expiry: 01 Oct 2027
First certificate of registration issued: Restricted Certificate Effective: 02 Oct 2024
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 02 Oct 2024
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 14 Apr 2025
DETAILS: Expiry date attached to certificate of registration by Registration Committee.
Date: Expiry: 01 Oct 2027
DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 02 Oct 2024
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 02 Oct 2024