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
17/08/25 02:51:49 AM

General Information

Former Name: No Former Name
Medical School: Islamic Azad University, 1993
Gender: Man
Languages Spoken: ENGLISH, FARSI

Practice Information

Primary Business Location: Dixon Medical Centre
Suite 306
531 Davis Drive
Newmarket Ontario L3Y 6P5
Business Email: No Information Available
Phone: (905) 235-3701
Fax: (905) 235-3801
Address: Southlake Regional Health Centre
596 Davis Drive
Newmarket Ontario L3Y 2P9
Phone: (905) 895-4521
Extension: 6269
Fax: No Information Available
Address: 9080 Yonge St, level 2, Unit 12
Grand Genesis Health
Richmond Hill Ontario L4C 0Y7
Phone: 289-597-7676
Fax: 289-597-7675

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Internal Medicine
Effective: 30 Jun 2007
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Jun 30 2007
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
Southlake Regional Health Centre Newmarket
HOSPITAL: Southlake Regional Health Centre
LOCATION: Newmarket

Professional Corporation Information

Corporation Name: M. Kouchakan Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 28 Apr 2009
Shareholders:
Dr. M. Kouchakan (CPSO#: 84624 )

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, FARSI
Medical School: Islamic Azad University, 1993

Practice Information

Primary Business Location: Dixon Medical Centre
Suite 306
531 Davis Drive
Newmarket Ontario L3Y 6P5
Business Email: No Information Available
Phone: (905) 235-3701
Fax: (905) 235-3801
Address: Southlake Regional Health Centre
596 Davis Drive
Newmarket Ontario L3Y 2P9
Phone: (905) 895-4521
Extension: 6269
Fax: No Information Available
Address: 9080 Yonge St, level 2, Unit 12
Grand Genesis Health
Richmond Hill Ontario L4C 0Y7
Phone: 289-597-7676
Fax: 289-597-7675

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Internal Medicine
Effective: 30 Jun 2007
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Jun 30 2007
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
Southlake Regional Health Centre Newmarket
HOSPITAL: Southlake Regional Health Centre
LOCATION: Newmarket

Professional Corporation Information

Corporation Name: M. Kouchakan Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 28 Apr 2009
Shareholders:
Dr. M. Kouchakan (CPSO#: 84624 )

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. MOHSEN KOUCHAKAN may practise only in the areas of medicine in which Dr. KOUCHAKAN is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. MOHSEN KOUCHAKAN may practise only in the areas of medicine in which Dr. KOUCHAKAN 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: Islamic Azad University, 1993

Registration History

DETAILS DATE
Transfer of class of registration to: Independent Practice Certificate Effective: 30 Jun 2007
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2006
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 30 Jun 2007
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2006