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
03/12/24 10:51:00 AM

General Information

Former Name: No Former Name
Medical School: Kharkov Medical University, 1995
Gender: Man
Languages Spoken: ENGLISH, RUSSIAN, UKRAINIAN

Practice Information

Primary Business Location: 46 Adam Street
Cambridge Ontario N3C 2K3
Business Email: No Information Available
Phone: (519) 658-0040
Fax: (888) 651-9747
Address: Cambridge Memorial Hospital
700 Coronation Boulevard
Cambridge Ontario N1R 3G2
Phone: (519) 621-2330
Fax: (519) 740-4938

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 25 Jul 2011
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jul 25 2011
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Cambridge Memorial Hospital Cambridge
HOSPITAL: Cambridge Memorial Hospital
LOCATION: Cambridge

Professional Corporation Information

Corporation Name: Rafael Gevorkyan Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 24 Nov 2011
Shareholders:
Dr. R. Gevorkyan (CPSO#: 94751 )
Business Address: 46 Adam Street
Cambridge Ontario N3C 2K3 (519) 658-1413
Business Address: Cambridge Memorial Hospital
700 Coronation Boulevard
Cambridge Ontario N1R 3G2 (519) 621-2330

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, RUSSIAN, UKRAINIAN
Medical School: Kharkov Medical University, 1995

Practice Information

Primary Business Location: 46 Adam Street
Cambridge Ontario N3C 2K3
Business Email: No Information Available
Phone: (519) 658-0040
Fax: (888) 651-9747
Address: Cambridge Memorial Hospital
700 Coronation Boulevard
Cambridge Ontario N1R 3G2
Phone: (519) 621-2330
Fax: (519) 740-4938

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 25 Jul 2011
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jul 25 2011
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Cambridge Memorial Hospital Cambridge
HOSPITAL: Cambridge Memorial Hospital
LOCATION: Cambridge

Professional Corporation Information

Corporation Name: Rafael Gevorkyan Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 24 Nov 2011
Shareholders:
Dr. R. Gevorkyan (CPSO#: 94751 )
Business Address: 46 Adam Street
Cambridge Ontario N3C 2K3 (519) 658-1413
Business Address: Cambridge Memorial Hospital
700 Coronation Boulevard
Cambridge Ontario N1R 3G2 (519) 621-2330

Practice Conditions

IMPOSED BY EFFECTIVE DATE EXPIRY DATE STATUS
Registration Committee
05 May 2016
Restricted
IMPOSED BY: Registration Committee
EFFECTIVE DATE: May 05 2016
EXPIRY DATE:
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.
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Dr. Rafael Gevorkyan may practise medicine independently in family medicine.
VIEW DETAILS chevron-down icon
Dr. Rafael Gevorkyan may practise medicine independently in family medicine.

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: Kharkov Medical University, 1995

Registration History

DETAILS DATE
Terms and conditions amended by Registration Committee. Effective: 05 May 2016
Terms and conditions amended by Registration Committee. Effective: 19 Jun 2014
Expiry date removed from certificate of registration. Effective: 29 Jan 2013
Terms and conditions amended by Registration Committee. Effective: 28 Jan 2013
Subsequent certificate of registration issued: Restricted Certificate Effective: 05 Jan 2012
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 05 Jan 2012
Expired: Terms and conditions imposed on certificate by Registration Committee Effective: 05 Jan 2012
Terms and conditions amended by Registration Committee. Effective: 30 Jun 2011
First certificate of registration issued: Restricted Certificate Effective: 13 Jan 2011
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 13 Jan 2011
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 05 May 2016
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 19 Jun 2014
DETAILS: Expiry date removed from certificate of registration.
Date: Effective: 29 Jan 2013
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 28 Jan 2013
DETAILS: Subsequent certificate of registration issued: Restricted Certificate
Date: Effective: 05 Jan 2012
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 05 Jan 2012
DETAILS: Expired: Terms and conditions imposed on certificate by Registration Committee
Date: Effective: 05 Jan 2012
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 30 Jun 2011
DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 13 Jan 2011
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 13 Jan 2011