No
Urut |
No
Angg |
Gelar |
Nama
|
Tempat,
Tanggal lahir |
Agama |
Pendidikan |
Alamat
Rumah |
Alamat
Praktek |
Keluarga |
Telp
& HP |
| 1 |
003 |
Dr |
Erwin Peetosutan
Sp.P
|
Bangkalan
19-08-32 |
Katolik |
| Umum
|
:
UNAIR, 1961 |
| Spesialis |
: UI, 1971 |
|
Trijaya
7 Kampung Ambon - Jakarta 13210 |
RS
Metropolitan Medical Center
Klinik : Sunan Sedayu 21, Rwmangun |
- Hetty Wintana
(i)
- Einar V.I.P
- Petrishka M.P
- Kenny Vanda P
- R. Tigor |
Telp
021 - 4897713
HP 081311501758 |
| 2 |
008 |
Dr |
G.
Pradono Sp.P
|
Padang
29-01-26 |
Katolik |
| Umum
|
:
UI, 1958 |
| Spesialis |
: UI, 1970 |
|
Waru
11, Rawamangun -Jakarta 13220 |
RS
St. Carolus
Mitra Internasional
Otista Raya 7 Jakarta |
-
Cherie Qunawati (Almh) (i)
- Cecilia K.P
- G. Salim P (Alm)
- Jerico P
- Antonius P
- Frederiko K.P |
Telp
021 - 4895349 |
| 3 |
013 |
Dr
|
Husaeri
Fachruroji Sp.P(K)
|
Tasikmalaya
13-07-39 |
Islam |
| Umum
|
:
UI, 1966 |
| Spesialis |
: UI, 1971 |
|
Pratama
I / 9, Pulo Asem - Jkt 13220 |
RS
Islam Cempaka Putih
RS Kramat 128 |
-
Mustinah (i)
- Ratna Kurnianti SH
- Bambang Kurniawan, SE
- Bambang Permana, ST, MM |
Telp
021 - 4891879
HP 0811 878 110
|
| 4 |
014 |
Dr
|
Wibowo
Suryatenggara Sp.P(K)
|
Tangerang
02-11-42 |
Kristen |
| Umum
|
:
UI, 1966 |
| Spesialis |
: UI, 1971 |
|
Sirap
3, Kamp. Ambon - Jkt 13210 |
Praktik
Pribadi Jl. Sirap 3 Jakarta |
-
Ny. Nurmala Simamora (i)
- Antonius Sar Barita
- Kristina Tiurma |
Telp
021 - 4891277
HP 0816 999 715 |
| 5 |
015 |
Prof
Dr |
Hadiarto
Mangunnegoro Sp.P(K)
|
Cianjur
18-07-42 |
Islam |
| Umum
|
:
UI, 1966 |
| Spesialis |
: UI, 1971 |
| DR/Prof |
|
|
Perdatam
Komplek Liga Mas Indah F / 7, Jakarta 12760 |
RS
Pelni
Klinik JRC |
Sri
Indah Sari (i)
Sharita Miranda S.Psi
Aryo Indarto
Arditto Rahardjo |
Telp
021 - 799 1192
HP 0816 - 702677 |
| 6 |
018 |
Dr
|
Rasjid
Piarah Sp.P MPH
|
Makasar
10-11-42 |
Islam |
| Umum
|
:
UI, 1968 |
| Spesialis |
: UI, 1971 |
|
Duren
Sawit Raya 107, Jakarta 13470 |
RS
Harapan Bunda Jakarta Timur
RS Yadika Jakarta Timur |
-
Ny. Enny Rasyid (i)
- Dra. Rita Faria
- Denny Risyad, SE, MBA
- Rezana Fitriany, ST |
Telp
021 - 861 7642
HP 0816 901 669 |
| 7 |
019 |
Prof
Dr |
Nirwan
Arief Sp.P(K)
|
Payakumbuh
26-08-42 |
Islam |
| Umum
|
:
UI, 1968 |
| Spesialis |
: UI, 1973 |
| DR/Prof |
|
|
Kalibata
Timur IV/34, Jakarta 12740 |
RS
PGI Cikini
Griya Puspa
RS Medistra |
-
Drg. Mirhanny (i)
- Grenardy Arief, MSc, MBA
- Ruly Arie, SE, MBA |
Telp
021 - 799 1054
HP 0816 791955 |
| 8 |
020 |
Dr
|
S.I.
Matullessya Sp.P
|
Bandung
11-10-20 |
Kristen |
| Umum
|
:
Univ. van, 1949 Indonesie |
| Spesialis |
: UI, 1958 |
|
Cipinang
Cempedak II/15, Polonia - Jakarta 13340 |
- |
-
Agustin Yenny Juliana (i)
- Jacob Samuel
- Fred Andrew
- Hendrik George |
Telp
021 - 819 2916 |
| 9 |
022 |
Dr
|
Iwan
Jusuf Sp.P
|
Medan
11-03-33 |
Islam |
| Umum
|
:
UNAIR, 1963 |
| Spesialis |
: USU, 1973 |
|
Pisok
XV / 3 Sektor 5, Bintaro Jaya- Tangerang |
Rumkital
Dr Mintoharjo Jakarta
Praktik Pribadi Jl. Pisok XV No. 3 Bintaro Jaya |
-
Ny. Enny Sugiarti (i)
- Wotma Samadi Yusuf
- Mangirin Yusuf
- Gima Istamitra Yusuf |
Telp
021 - 7373526 |
| 10 |
024 |
Dr
|
A.
Syakur Gani Sp.P
|
Surabaya
09-03-29 |
Islam |
| Umum
|
:
Tokyo, 1958
Med & Dental
University |
| Spesialis |
: UI, 1974 |
|
Danau
Medara BI / 64, Bendungan Hilir - Jakarta Pusat |
Jakarta
Respiratory Center (JRC)
RS International Bintaro |
-
Ny. Gemini Anny (i)
- Ir. Bramantyo Prakoso
- Dr Dwi Syanthi Andriasari, Sp.P
- Ir. Heru Setiawan, Sp.P |
Telp
021 - 5731601
HP 0816 143 7865 |
| 11 |
026 |
Dr
H |
M.
Irsyad Sp.P
|
Pasuruan
01-02-37 |
Islam |
| Umum
|
:
UNAIR, 1966 |
| Spesialis |
: UI, 1974 |
|
Pulomas
Utara Raya Blok G1 No. 5, Jakarta 13210 |
Kebun
Bawang 11a
RS Sukmul |
Siti
Jundah (i)
M. Ikhwan
A Hadidi
Yuliani |
Telp
021 - 489 6976
HP 0818 779 005 |
| 12 |
027 |
Dr
|
P.
Handojo Sp.P
|
Wirosari
27-11-36
|
Kristen |
| Umum
|
:
UNAIR, 1964 |
| Spesialis |
: UI, 1974 |
|
Palem
Raya Kav. 1167, Tomang Barat Baru - Jakarta 11510 |
RS
Sumber Waras
RS Pluit
|
Trien
Handojo (i)
Bambang Heru Handojo
Arid Handojo |
Telp
021 - 568 4421
HP 0812 906 5421 |
| 13 |
028 |
Dr
|
P.
Embran Sp.P
|
Sukabumi
15-06-36 |
Kristen |
| Umum
|
:
UNAIR, 1964 |
| Spesialis |
: UI, 1974 |
|
Aipda
KS Tubun III / 2-Jkt 11410 |
RS
Husada Jakarta
RS MMC Jakarta |
Dr
Cecilia Embran (i)
Theresia Embran
Dwijani Embran
Meilani Embran |
Telp
021 - 548 1961
HP 0816 820 182 |
| 14 |
029 |
Dr
|
Sidharma
Husada Sp.P
|
Malang
03-02-34 |
Islam |
| Umum
|
:
UNAIR, 1961 |
| Spesialis |
: UI, 1975 |
|
Komp.
Griya Indah Tumaritis Kav. 14
Jl Tumaritis, Belakang BRI Fatmawati, Cilandak Barat - Jakarta 12430 |
RS
Pondok Indah - Jakarta
RS Setia Mitra, Fatmawati Jakarta |
Ny.
Listiariningrum (i)
Satwika Parwitasari
Happy Hariani |
Telp
021 - 759 09889
HP 0816 744934 |
| 15 |
030 |
Dr
|
Wim
Lambey Sp.P
|
Manado
09-10-42 |
Kristen |
| Umum
|
:
UI, 1969 |
| Spesialis |
: UI, 1976 |
|
Jeruk
Bali III/28, Tomang Barat - Jakarta Barat 11510 |
RS
Graha Medika
Praktik Pribadi Jl. Dr Muwardi I / 17 Grogol Jkt |
Ny.
Jenny D. Kansil (i)
David
Esatier
Christian |
Telp
021 - 568 6532
HP 0811 833 842 |
| 16 |
031 |
Dr
H |
Soetojo
S.Sp.P
|
Malang
26-01-30 |
Islam |
| Umum
|
:
UNAIR, 1961 |
| Spesialis |
: UI, 1976 |
|
Komplek
Baranangsiang Indah, Jl Mega Mendung 3 Blok E3 No. 7, Bogor |
RS
Jakarta
RS Dewi Sri Karawang |
Ny.
Sjatmi (i)
Retnaning Dyah Satyawati
Priambodo
Prakoso
Prajudi Setiawan
Prihantojo
Rahmawati |
Telp
/ Fax. 021 - 724 5094 / 725 8810
HP 0816 - 895281 |
| 17 |
034 |
Prof
Dr |
Anwar
Jusuf Sp.P(K)
|
Bandung
10-11-42 |
Islam |
| Umum
|
:
UI, 1968 |
| Spesialis |
: UI, 1976 |
| DR/Prof |
|
|
Komplek
Baranangsiang Indah, Jl. Mega Mendung 3 Blok E3 No. 7, Bogor |
Griya
Puspa
RS Jakarta
RS PGI Cikini
RS Rawamangun |
Anizar
(i)
Adi Respati, S.Psi
Arthatama Jusuf, S.S
Retna Karunia, S.Hum |
Telp 0251 - 374 758
HP 0816 - 1948891 |
| 18 |
038 |
Dr
|
Usman
Saptari Sp.P
|
Bandung
01-08-38 |
Islam |
| Umum
|
:
UI, 1966 |
| Spesialis |
: UI, 1977 |
|
Kalibata
Tengah XII / H 65, Jakarta 12740 |
Praktik
Pribadi Jl. Kalibata Tengah XII / 65 |
Ny.
A. Karwati (i)
A. Zainudin
E. Noviani
D. Fitriyana |
Telp
021 - 7993777
HP 0816 192 6474 |
| 19 |
039 |
Dr
|
Burhan
Madjid Sp.P
|
Padang
13-02-43 |
Islam |
| Umum
|
:
UNSRI, 1971 |
| Spesialis |
: UI, 1978 |
|
Menteng
Atas Selatan No. 9A, Jakarta 12960 |
Praktik
Pribadi Jl. Dr Saharjo 11D Jakarta |
Dr
Siti Zuraida Said (i)
Fira Rahmadani, SE
AK. Fitriza Rahmadian, SE, AK |
Telp
021 - 828 0470
HP 0811 944452 |
| 20 |
081 |
Dr
|
Halim
Danusantoso Sp.P
|
Surabaya
13-02-39 |
Katolik |
| Umum
|
:
UNAIR, 1965 |
| Spesialis |
: UI, 1979 |
|
Pluit
Utara Raya 12, Jakarta 14450 |
Pluit
Utara Raya 12, Jakarta 14450
RS Pantai Indak Kapuk |
Maria
Widjaja (i)
Johannes Danusantoso
Markus M. Danusantoso
Imelda Danusantoso
Michael M. Danusantoso |
Telp
021 - 669 5717
HP 0813 193 22339 |
| 21 |
083 |
Prof
DR Dr |
E.J. Manuhutu MS Sp.P(K)
|
Denpasar
09-03-42 |
Kristen |
| Umum
|
:
UI, 1970 |
| Spesialis |
: UI, 1980 |
| DR/Prof |
|
|
I.Gusti Ngurah Rai - Klender, Taman Buaran Indah I Blok Z 480, Jakarta
13470 |
RS
Usada Insani Jakarta
RS Bersalin Puri Husada Jakarta |
Ny.
Linda Maria Sastradipura (i)
Victor Paulus Manuhutu
Nichollas Jesaya Manuhutu |
Telp
021 - 861 3445
HP 0856 119 629 |
| 22 |
087 |
Dr
|
Imam
Soekoesno P.Sp.P
|
Magelang
27-10-37 |
Islam |
| Umum
|
:
UNAIR, 1966 |
| Spesialis |
: UI, 1981 |
|
Komplek
MPR 133 A, Cilandak-Jkt 12430 |
RS
Metropolitan Medical Center |
Susilawati
(i)
Kusumo Pratini
Kusumo Hapsari
Danardono |
Telp
021 - 7690242
HP 0815 888 3253 |
| 23 |
088 |
Dr
|
Aziz
Mashabi Sp.P
|
Jakarta
28-06-37 |
Islam |
| Umum
|
:
UI, 1974 |
| Spesialis |
: UI, 1981 |
|
Jati
Petamburan 47, Jakarta 10260 |
KS
Tubun 47
RS Gandaria |
Sri
Asriani (Almh) (i)
Ahmad Reza
Yasmin
Saussan |
Telp
021 - 570 9210
HP 0815 970 0871 |
| 24 |
089 |
Dr
|
Dudung
A. Latief Sp.P MHA, FCCP
|
Cikampek
05-06-42 |
Islam |
| Umum
|
:
UI, 1971 |
| Spesialis |
: UI, 1981 |
|
Warung
Buncit Raya 201, Jakarta 12740 |
RS
Harapan Bunda
RS Siaga Raya |
Dr
Hj. Mintarsih (i)
Ir. Lely Susanti
Yuda Laksma na BS |
Telp
021 - 799 5824
HP 0816 776542 |
| 25 |
090 |
Dr
|
Irwan
Hananto Sp.P
|
Surabaya
14-04-47 |
Kristen |
| Umum
|
:
UNAIR, 1972 |
| Spesialis |
: UI, 1982 |
|
Kemang
Raya 126C, Jkt 12730 |
Praktik
Pribadi, Kota Bambu Raya Jakarta |
Ny.
Rita Tirtadjaja (i)
Rio Rivelino
Roy Ivan |
Telp
021 - 718 3405 / 718 3436
HP 0812 -9091009 |
| 26 |
094 |
Dr
|
Handoko
Gunawan Sp.P
|
Rangkasbitung
18-07-40 |
Kristen |
| Umum
|
:
UI, 1965 |
| Spesialis |
: UI, 1981 |
|
Kav.
Polri DX IV / 1201, Jelambar - Jakarta 11460 |
RS
Graha Medika
RS Pantai Indah Kapuk |
Ny.
Widijati Gunawan, BA (i)
Ir. Budijanto Jutanti Gunawan, MM
Irawan Jutanti Gunawan, SE
Dr Darmadi Jutanti Gunawan |
Telp
021 - 568 3273
HP 0816 948 230 |
| 27 |
097 |
Dr
|
Irwandi
Rudiwan Sp.P
|
Pariaman
06-02-44 |
Kristen |
| Umum
|
:
UNAND, 1975 |
| Spesialis |
: UI, 1983 |
|
Kelapa
Puan Timur I Blok NB 2 / 16, Kelapa Gading Permai - Jakarta 14240 |
RS
Gading Pluit Jakarta
RS Satyanegara Jl. Agung Utara Raya |
Ny.
Chandra Dwi Susanti (i)
Widyastuti
Oscar Purnama
Freddy Purnama |
Telp
021 - 453 2305
HP 0817 6072 525 |
| 28 |
098 |
Dr
|
Firdaus
Iskandar Sp.P
|
Pariaman
05-12-39 |
Islam |
| Umum
|
:
UNAND, 1969 |
| Spesialis |
: UI, 1982 |
|
Nimun
Raya No 23, Tanah Kusir - Kebayoran Lama - Jakarta 12240 |
RSPAD
Gatot Soebroto Jakarta Pusat
Praktik Pribadi Jl. Aria Putra 17B Ciputat |
Ny.
Rinawati (i)
Diana Andri
Doni Fireza
Dedi Fahruli |
Telp
021 - 725 0649
HP 0818 179812 |
| 29 |
101 |
Dr
|
Umar
Wahid Hasjim Sp.P
|
Jombang
06-04-45 |
Islam |
| Umum
|
:
UI, 1970 |
| Spesialis |
: UI, 1974 |
|
Kelapa
Sawit XIII / 2, Komp. Billy & Moon, Pondok Kelapa - Jakarta 13450 |
- |
Endang
Sulistinah (i)
Fitria Latifah Wahid
Novita Sofia Wahid
Fatih Waluyo Wahid |
Telp
021 - 864 1847
HP 0816 191 1414 |
| 30 |
105 |
Dr
|
Yudanarso
Dawud Sp.P. MHA
|
Malang
26-10-42 |
Islam |
| Umum
|
:
UI, 1969 |
| Spesialis |
: UI, 1974 |
|
Gereja
43, Cilandak Barat - Jakarta 12430 |
RS
Prikasih Jakarta Selatan
RS Setia Mitra Jakarat Selatan |
Dra.
Salviyah Prawiranegara Yudanarso (i)
Yupi Cahyotomo Yudanarso |
Telp
/ Fax 750 1534
HP 0811 100034 |
| 31 |
110 |
Dr
|
Aminuddin
Nawas Sp.P
|
Padang-Burnei
08-01-38 |
Islam |
| Umum
|
:
UI, 1965 |
| Spesialis |
: UI, 1977 |
|
Pesona
Kyoto 3 Blok D-8 No. 32, Kota Wisata Nagrak Cibubur, Bogor 16967 |
RS
Prikasih, Jl. Fatmawati Jakarta
RS Puri Cinere, Jl. Maribaya Cinere |
Ny.
Ratna Sari (i)
Adrian Sjamsul Qamar
Armand Rinaldi
Ahmad Arminiel |
Telp
021 - 824 92209 / 824 92210
HP 0818 - 916141
|
| 32 |
139 |
Dr
|
Muhammad
Farid Sp.P(K)
|
Maninjau
22-10-42 |
Islam |
| Umum
|
:
UI, 1969 |
| Spesialis |
: UI, 1983 |
|
Duren
Sawit Indah, Jl. Kresna Blok A/11, Jakarta 13440 |
RS
Islam Pondok Kopi |
Rosnidar
(i)
Yan Kurniawan
Diana Yumanita |
Telp
021 - 861 4691
HP 0816 186 2447 |
| 33 |
140 |
Dr
|
Zainudin
Herawan Sp.P
|
Sukabumi
20-12-40 |
Islam |
| Umum
|
:
UI, 1967 |
| Spesialis |
: UI, 1984 |
|
Betung
VIII / 207, Kav. Pondok Bambu - Jakarta 13430 |
RS
St. Carolus, Jl. Salemba 41 Jakarta |
Ny.
Fatimah (i)
Yanri Hendarta, SH, LLM
Ir. Dewiyani, MSc
Ir. Safarudin Gazali, M.Eng |
Telp
021-861 2155
HP 0811 999 260 |
| 34 |
147 |
Dr
|
M.
Arifin Nawas Sp.P(K)
|
Jambi
20-11-47 |
Islam |
| Umum
|
:
UNPAD, 1976 |
| Spesialis |
: UI, 1986 |
|
Bangka
XI / 21 B, Jakarta 12720 |
RS
Abdi Waluyo
RS Pantai Indah Kapuk
Klinik Esti |
Nuraini
Nurdin (i)
Caesar nurfiansyah
Ayu Sesa Nurfiani |
Telp
021 - 719 3502
HP 0811 192 780 |
| 35 |
148 |
Dr
M.R.S. |
Depari,
SKM, Sp.P
|
Pangkalan
Brandan
02-08-39 |
Kristen |
| Umum
|
:
USU, 1972 |
| Spesialis |
: UI, 1986 |
|
Kelapa
Puan Timur VII Blok NBB 26, Kelapa Gading Permai |
RS
Bakti Yud, Depok
Balkesmas Depok |
Dr
Ny. Ingan M. Bukit, SKM (i)
Eddy Suranta S. Depari
Dr Ros Eva S. S. Depari
Surya Cendana S. Depari |
Telp
021 - 450 0510
HP 0813 1653 3182 |
| 36 |
152 |
Dr
|
Nancy
Hutabarat Tobing. Sp.P
|
Bandung
30-10-52 |
Kristen |
| Umum
|
:
UI, 1979 |
| Spesialis |
: UI, 1989 |
|
Pulo
Nangka Tengah 66, Vila Mas - Jakarta 13210 |
RS
Pasar Rebo Jakarta
RS OMC Pulomas Jakarta |
Tn.
Freddy Hutabarat, SE (s)
Audrey Ulina Magdalena Hutabarat
Kevin Hutabarat |
Telp
021 - 489 2119
HP 0818 - 933444 |
| 37 |
157 |
Dr
|
Susanto
Sudarsono Sp.P
|
Surakarta
27-09-42 |
Islam |
| Umum
|
:
UGM, 1971 |
| Spesialis |
: UI, 1987 |
|
Gizi
B3/10, Kompl. Depkes, Sunter, Jakarta 14350 |
RS
Sukapura
RS Tugu Ibu |
Wahyuningsih
(i)
Bimo Pratomo
Ari Praksekti |
HP
0816 163 9364 |
| 38 |
158 |
Prof
Dr |
Faisal
Yunus Ph.D Sp.P(K), FCCP
|
Batu
Sangkar
08-07-51 |
Islam |
| Umum
|
:
UI, 1976 |
| Spesialis |
: UI, 1987 |
| DR/Prof |
|
|
Pulo
Asem Utara II / 5, Rwmangun, Jakarta 13220 |
Griya
Puspa
RS Omni Medical Center
RS M. Husni Thamrin, Salemba
RS Dharma Nugraha |
Dr
Asma Agus (i) |
Hiro
Putro
Hariyuki Dewi
Hana Khairina
Putri |
| 39 |
159 |
Dr
|
Tjandra
Yoga Aditama Sp.P(K), DTM&H, MARS
|
Jakarta
03-09-55
|
Islam |
| Umum
|
:
UI, 1980 |
| Spesialis |
: UI, 1988 |
|
Aboeserin
39, Cilandak - Jakarta 12420, Cilandak - Jakarta 12420 |
RS
Pondok Indah |
Sri
Susilawati, Sp.THT (i)
Ayu Nilam Kencana Aditama, S.Psi
Kartika Anindya Putri
Alia kemasari |
Telp
021 - 769 5842
HP 0816 - 894239 |
| 40 |
160 |
Dr
|
Rahardjo
Darmanto Djojodibroto Sp.P
|
Banyuwangi
11-07-44 |
Islam |
| Umum
|
:
UGM, 1971 |
| Spesialis |
: UI, 1988 |
|
1412
Loron D3 Taman BDC 93350, Kuching, Serawak Malaysia |
|
|
|
| 41 |
161 |
Dr
|
Raharjo
Wiryokusumo Sp.P
|
Jakarta
14-06-47 |
Islam |
| Umum
|
:
UI, 1973 |
| Spesialis |
: UI, 1989 |
|
Komplek
TNI - AU , Triloka Blok K No. 12, Pancoran - Jakarta Selatan |
|
|
Telp
021 - 794 7932 |
| 42 |
185 |
Dr
|
Krissubanu
S.Sp.P, FCCP
|
Jember
06-10-47 |
Islam |
| Umum
|
:
UGM, 1976 |
| Spesialis |
: UI, 1987 |
|
Komplek
Pulo Gebang Permai Blok A2 No. 7, Jakarta 13950 |
RSUD
Pasar Rebo Jakarta Timur
RS Harum Kalimalang Jakarta Timur |
Ny.
Tatiek Partomo, SE (i)
Wisnu Eko Pratomo, SE
Rike Rahmawati DW, S.Sos |
Telp
021 - 487 02935
HP 0812 9475421 |
| 43 |
191 |
Dr
|
Kim
Sudarsono Sp.P
|
Magelang
21-07-42 |
Kristen |
| Umum
|
:
UGM, 1969 |
| Spesialis |
: UNAIR, 1988 |
|
Tuyu
45, Trikora Halim Perdanakusuma-Jakarta 13610 |
RS
Tria Dipa Pasar Minggu Jakarta
RS Mitra Keluarga Bekasi |
Ny.
Surwastati K (i)
A. Radix W
Funic S |
Telp
061 - 800 2864
HP 0816 131 8492 |
| 44 |
192 |
Dr
|
Hadi
Moeliawan Sp.P
|
Tegal
19-03-48 |
Islam |
| Umum
|
:
UGM, 1977 |
| Spesialis |
: UNAIR, 1988 |
|
Mandala
Barat IV / 12 A, Tomang - Jakarta 11440 |
RS
Mitra Internasional Jakarta Timur
RS Mitra Kemayoran Jakarta Pusat |
Ny.
Trimurti Rahmawati (i)
Intan Airlina Febiliawati
Ratna Air Indah Hadiaty
Irawan Septian Nugroho |
Telp
021 - 566 2636
HP 0812 991 9861 |
| 45 |
200 |
Dr
|
Priyanti
ZS Sp.P(K)
|
Jakarta
23-09-53 |
Islam |
| Umum
|
:
UI, 1979 |
| Spesialis |
: UI, 1989 |
|
Duren
Sawit Indah Blk A VII No 9, Jakarta 13440 |
RS
Pondok Kopi
Klinik Proklamasi |
Dr
Zuswahyudha Samsu, SpAn KIC (s)
Rahma Yunianti Putri
Nadyah Agustina Putri
|
Telp
021-861 1291
HP 0816 907 685
|
| 46 |
202 |
Dr
|
Supriyantoro
Sp.P MARS
|
Lampung
11-08-54
|
Islam |
| Umum
|
:
UGM, 1979 |
| Spesialis |
: UI, 1989 |
|
Rantai
Timah G 27 KPAD, Bulak Rantai, Jakarta Timur 13540 |
RSPAD
Gatot Subroto
RS Gading Pluit |
Lien
Waspaningsih (i)
Deta Indriana
Rezamaryando
Sesa Indrianaspasi |
Telp
021-80871146
HP 0811 849039 |
| 47 |
203 |
Dr
|
Sardikin
Giriputro Sp.P(K)
|
Solo
24-03-51 |
Islam |
| Umum
|
:
UI, 1975 |
| Spesialis |
: UI, 1990 |
|
Poncol
Indah 10 RT. 01 / RW. 02, PDK II Cirendeu - Tangerang 15419 |
RS
Penyakit Infeksi Suliati Saroso
RS Pluit |
Dr
Andi Irma Aminah Noor, Sp.JP (i)
Myrna Mustika Sari, Ssi
Annisa Parameshwara, SE
Adityo Narendro Baskoro, SE |
Telp
021-742 3707
HP 0815 9222 854 |
| 48 |
204 |
Dr
|
Muchtar
Luthfi Munawar Sp.P
|
Bandar
Pulo
23-01-48 |
Islam |
| Umum
|
:
USU, 1977 |
| Spesialis |
: UI, 1989 |
|
Sambung
II / 175, KPAD Cibubur - Jakarta 13720 |
|
|
|
| 49 |
205 |
Prof.
Dr |
Menaldi
Rasmin Sp. P(K)
|
Jakarta
30-09-55 |
Islam |
| Umum
|
:
UI, 1981 |
| Spesialis |
: UI, 1991 |
| DR/Prof |
|
|
Pulo
Mas Utara IIC / 2, Jakarta 13210 |
RS
Mitra Internasional Jakarta
RS Mitra Keluarga Kelapa Gading Jakarta |
Dr
Sri Linuwih, Sp.KK (i)
Adityawarman
Rizki Radhitya |
Telp
489 3827
HP 0816 846906 |
| 50 |
207 |
Dr
|
Saharawati
M. Sp. P
|
Medan
23-01-49 |
Islam |
| Umum
|
:
UKI, 1979 |
| Spesialis |
: UI, 1991 |
|
Jaksa
10, Pisangan Lama II, RT. 012/ RW. 03, Jakarta 13230 |
RS
Mediros
RS Pertamina Jaya |
Prof.
Mahmouddin Sudin (Alm) (s)
Rouhl Intiqad
Dieny Fithri
Nour El Hag
Nour El Falah |
Telp
4718410
HP 0811 897 823 |
| 51 |
248 |
Dr
|
Clemens
Manyakori,Sp.P
|
18-12-49 |
Kristen |
| Umum
|
:
UNAIR, 1994 |
| Spesialis |
: UNAIR |
|
Kompl
Perumahan RSUP Persahabatan 4 |
|
Yohana
Rina Sunday (i)
Servica Permoni Putri Manyakori
Dionysius Bramta Putra Manyakori |
|
| 52 |
251 |
Dr
|
Abdul
Rohman Sp.P
|
Jombang
11-05-50 |
Islam |
| Umum
|
:
UNAIR, 1979 |
| Spesialis |
: UNAIR, 1994 |
|
Mess
Perwira Ladokgi, Farmasi 1 Bendungan Hilir - Jakarta 10210 |
RSAL
Dr Mintohardjo
RS Marinir Cilandak |
Betty
Nuryanti (i)
Dr Alif N. Rahman
Dodo N. Rahman, SE
Taufik N Rahman, ST |
Telp
021 - 570 381 - 85 Pes. 330
HP 0812 - 850 3182 |
| 53 |
258 |
Dr
H |
Masril
Sp. P
|
Silungkang
03-04-48 |
Islam |
| Umum
|
:
YARSI, 1982 |
| Spesialis |
: UI, 1991 |
|
Taman
Kedaung Blok A9 - 11, Ciputat - Tangerang 15415 |
RS
Haji
RS Syarif Hidayatullah |
Non
Evanita (i)
Reza Mahendra
Rineta Apgarini
Monika Meizar Ratih |
Telp
021 - 740 6847
HP 0813 9933 7557 |
| 54 |
260 |
Dr
|
Dianiati
K.S. Sp. P(K)
|
Jakarta
07-03-58 |
Islam |
| Umum
|
:
UI, 1983 |
| Spesialis |
: UI, 1993 |
|
Sulino
26 KHC Ciputat, Perum Ciputat Baru Blok D, Jak-Sel |
RS
Gading Pluit
Griya Puspa
Jakarta Respiratory Center (JRC) |
-
Bagas Pratomo |
Telp
021- 740 9126
HP 081316795303 |
| 55 |
262 |
Dr
|
Caecilia
Arimah Sp.P
|
Solo
22-11-50 |
Katolik |
| Umum
|
:
UNIKA ATMAJAYA, 1983 |
| Spesialis |
: UI, 1993 |
|
Megapolitan
Cinere Estate, Jl. Lawu Kav. 288 Blok J, Depok 16515 |
RS
Fatmawati
RS Hospital Cinere
Klinik Waras Medika |
Ir.
Surjadi Wijono (s)
Febrian Hendro |
Telp
021-754 0258 / 753 1825
HP 0811 - 843907 |
| 56 |
263 |
Dr
H |
Hanafi
K.Sp. P
|
Jakarta
01-04-53 |
Islam |
| Umum
|
:
UNPAD, 1980 |
| Spesialis |
: UI, 1992 |
|
Tegalan
13, Matraman - Jakarta 13140 |
Sukmul
Sisma Medika
RS Port Medical Center |
Dra.
Listyarini (i)
Arinza Arum Arum Sayekti |
Telp
021-858 3532
HP 0815 805 7222 |
| 57 |
265 |
Dr
|
Sukaenah
Shebubakar Sp.P
|
Jakarta
08-08-57 |
Islam |
| Umum
|
:
UI, 1983 |
| Spesialis |
: UI, 1993 |
|
Mesjid
Almabrug III / 46-51, Condet Raya, Jakarta 13530 |
RSUD
Budhi Asih Jl. Dewi Sartika Jakarta
RS Tugu Ibu, Jl. Raya Bogor km 26 |
Abu
Bakar Djufri (s)
Syairah Banu
Muthia Nabilla |
Telp
021-809 3924 / 809 0915
HP 0812 999 0977 |
| 58 |
267 |
Dr
|
Budi
Swidarmoko Sp.P(K)
|
Surabaya
10-04-52 |
Islam |
| Umum
|
:
TRISAKTI, 1984 |
| Spesialis |
: UI, 1994 |
|
H
Arsyad No. 64 RT. 01 / RW. 07, Kampung Sasak Desa Limocinere |
RS
International Bintaro, Jl. MH Thamrin Bintaro
RS Prikasih, Jl. Fatmawati Jakarta |
Ny.
Pramesti (i)
Pradono Budi Saputro
Adimas Prajanto |
HP
0812 8560 172 |
| 59 |
269 |
Dr
|
Soegeng
Hidayat, SpP, MARS, DFM
|
Madiun
23-03-53 |
Islam |
| Umum
|
:
UNAIR, 1979 |
| Spesialis |
: UI, 1993 |
|
Pelikan III Blok U6 - 9, Sektor 2 Bintaro Jaya - Tangerang |
RUMKIT
Polpus Sukanto
RS Internasional Bintaro |
Dra.
Susiana (i)
Dono Marsetio Wibisono
Ir. Niken hayudanti Anggarini
Danto Adithya Bimantoro |
Telp
021-736 0358
HP 0816 976 901 |
| 60 |
270 |
Dr
|
Etty
Sumiyeti Sp.P, MARS
|
Tasikmalaya
07-03-54 |
Islam |
| Umum
|
:
UI, 1983 |
| Spesialis |
: UI, 1993 |
|
Taman
Galaxi Indah Blk D/6, Kalimalang, Bekasi 17147 |
RSUD
Koja Jakarta Utara
RS Karya Medika Cibitung |
Tn.
Yuliaman Siregar (s)
Wina Sundari
M. Ridho Satria |
Telp
021-820 7708
HP 0811 815 805 |
| 61 |
271 |
Dr
|
Ida
Bernida Sp.P
|
Rengasdengklok
02-11-58 |
Kristen |
| Umum
|
:
UI, 1983 |
| Spesialis |
: UI, 1994 |
|
Otista
3.Jl Asuransi I No. 5 RT 09/01, Jakarta Timur |
RS
Mitra Internasional Jatinegara
RS Mitra Kelapa Gading Jakarta Utara |
Dr
Bambang Budi S, Sp.JP (s)
Revina Putri S
Alvin Putra S |
Telp
021 -8516453
HP 0818 760 314 |
| 62 |
272 |
Dr
|
Wiwien
Heru Wiyono Ph.D Sp.P(K)
|
Jakarta
21-12-58 |
Islam |
| Umum
|
:
UI, 1984 |
| Spesialis |
: UI, 1998 |
|
Mustika
Jaya II / 30, Rawamangun - Jakarta 13223 |
Griya
Puspa
RS Harum |
Dr
Rita Aryanti, MARS (i)
Muhammad Fahri
Muhammad Reza Fadrizal
Muhammad Tsuyoshi Winanda |
Telp
021 - 472 0583
HP 0811 192 342 |
| 63 |
273 |
Dr
|
Pudjo
Astowo Sp.P(K)
|
Jakarta
25-10-52 |
Islam |
| Umum
|
:
UKI, 1984 |
| Spesialis |
: UI, 1994 |
|
Taman
Alfa Indah Blok DV-17, Joglo - Jakarta 11640 |
RS
Persahabatan
RS Agung
RS Gading Pluit |
Siti
Saptorini (i)
Dian Prastiti Utami
Arini C. Prastiwi
Adri Rizki |
Telp
021-584 952
HP 0811 840 715 |
| 64 |
274 |
Dr
|
A.
Mulawarman Jayusman Sp.P(K)
|
Jakarta
23-09-56 |
Islam |
| Umum
|
:
UNPAD, 1984 |
| Spesialis |
: UI, 1993 |
|
Cipinang
Bali I /16 Rt 002/Rw 013, Kalimalang - Jakarta Timur |
RS
Siloam Gleanegles Karawaci
RS Tria Dipa, Pasar Minggu Jakarta |
Ny
Yetti Iswara (i)
Inka Paramita
Jaka Pradipta
Satria Pramawa |
Telp
021-8516 320
HP 0816 - 940956 |
| 65 |
281 |
Dr
|
Janto
Gunawan Lingga Sp.P
|
Rengasdengklok
17-09-52 |
|
| Umum
|
:
TRISAKTI, 1980 |
| Spesialis |
: UNAIR, 1994 |
|
Kedoya
Akasia I, Blok B2- 2, Jakarta Barat |
RS
Infeksi Sulianti Saroso Jakarta
RS Mitra Kemayoran Jakarta |
Dr
Fonny Jacobus Silfanus, Mkes (i)
Reynard Lingga
Michael Lingga |
Telp
580 8002
HP 0811 193 931 |
| 66 |
292 |
Dr
|
Darma
Setyakusuma Sp.P
|
Jakarta
12-07-57 |
Islam |
| Umum
|
:
UI, 1983 |
| Spesialis |
: UI, 1996 |
|
Masdulhak
23, Rt 01 Rw 02, Cinere Limo, Jakarta Selatan |
RS
Setiamitra
RS Harapan Bunda |
Farida
Sukmawati (i)
Dyah kusuma
Kirana Kusuma |
0818
- 746018 |
| 67 |
293 |
Dr
|
Fachrial
Harahap Sp.P
|
Langsa
26-02-52 |
Kristen |
| Umum
|
:
UKI, 1983 |
| Spesialis |
: UI, 1998 |
|
Sungai
Sambas II / 5, RT 001/005 Kramat Pela akarta Selatan |
RS
M Husni Thamrin
Griya Puspa
RS Bakti Mulya
Klinik JRC |
Else
Fransisca Femmy (i)
Alfa George SE
Rafelia Reggie, SSI
Paticia Camila |
Telp
021 - 720 6517 / 724664
HP 0816 1948216 |
| 68 |
309 |
Dr
|
Pradjnaparamita
Sp.P
|
Jakarta
14-12-53 |
Islam |
| Umum
|
:
UNIBRAW, |
| Spesialis |
: UI, 1995 |
|
Tembok
18, Jakarta 13210 |
RS
Mitra Kelapa Gading, Jakarta Utara |
|
|
| 69 |
314 |
Dr
|
Linda
Nurdewati Sp.P
|
Jakarta
19-06-59 |
Protestan |
| Umum
|
:
UKI, 1986 |
| Spesialis |
: UI, 1997 |
|
Pulo
Asem Timur, Rawamangun - Jakarta 13220 |
RS
Tebet
RS Fatmawati |
G
Maruli T. Sitompul (s)
Mathilda R.H.S |
Telp
471 1609
HP 0818 724466 |
| 70 |
319 |
Dr
|
Muhardi
Djabang,Sp.P
|
Padang
13-08-57 |
Islam |
| Umum
|
:
UNAND, 1986 |
| Spesialis |
: UI |
|
Warung
Jati Timur IB No. 37, Kompl. Perhub Udara Jakarta Selatan |
RSUD
Kab Cibitung - Bekasi
RS Bakti Husada Cikarang Bekasdi
RS Anisa Lemah Bang Bekasi |
Vivi
Syamsoe, SPd (i)
Randi maulana
Mila Andita
Fitriyani Fadillah |
Telp
021-68179556
HP 0813-19026110 |
| 71 |
320 |
Dr
|
Sutji
Astuti Mariono R Sp.P
|
Jakarta
16-02-56 |
Islam |
| Umum
|
:
UI, 1981 |
| Spesialis |
: UI, 1996 |
|
Ry
Psr Minggu, Komp.TNI-AUTriloka Blk G No 6, Pancoran, Jakarta 12780 |
RS
Pertamina Pusat Jakarta Pusat
RS Mitra Keluarga Kelapa Gading |
Mariono
Reksoprodjo (s)
Murdiono Ramadhana Reksoprodjo
Muh. Ramaditto Reksoprodjo |
Telp
021 - 799 3732
HP 0816 783 156 |
| 72 |
321 |
Dr
|
Elisna
Syahruddin, PhD, Sp.P(K)
|
Belawan
05-05-60 |
Islam |
| Umum
|
:
USU, 1986 |
| Spesialis |
: UI, 2000 |
|
Rawamangun
Muka III / 9, Jakarta Timur 13320 |
Griya
Puspa
RS Jakarta
RS Kanker Dharmais |
|
|
| 73 |
324 |
Dr
|
Ermita
Magdalena Sp.P
|
Pekanbaru
15-03-57 |
Islam |
| Umum
|
:
UNAND, 1985 |
| Spesialis |
: UI, 1999 |
|
Villa
Pertiwi Blok F7 - 26, Depok, |
RS
PMI Bogor |
Zahed
(s)
Anisa Gucci |
Telp
021-875 5138
HP 0812 999 6264 |
| 74 |
325 |
Dr
|
Dwi
Syanthi Andriasari Sp.P
|
Jakarta
02-08-64 |
Islam |
| Umum
|
:
UNIBRAW, 1989 |
| Spesialis |
: UI, 1999 |
|
Karbela
Barat 33,Setiabudi-Jkt 12920 |
RS
Fatmawati
RS Griya Husada |
Dr
Pribadyo, Sp.M (s)
Widitya Rizky Prasetyo
Aditya Ari Baskoro
Pradistya Astri Pryandhini |
Telp
021 - 525 2231
HP 0818 794 128 |
| 75 |
326 |
Dr
|
Agustina
Syamsiah Sp.P
|
Jakarta
19-08-59 |
Islam |
| Umum
|
:
UI, 1983 |
| Spesialis |
: UI, 1999 |
|
Gading
Elok Raya Utara FC 2 / 8, Kelapa Gading Permai, Jakarta Utara |
RS
Duren Sawit |
Wuryantoro
(s)
Satrio Febriyanto
Sekar Mawar Oktavina |
HP
0811 150 737 |
| 76 |
327 |
Dr
|
Anthony
Dometrius Tulak Sp.P
|
Makale
Tanah Toraja
02-10-61 |
Kristen |
| Umum
|
:
UNHAS, 1988 |
| Spesialis |
: UI, 1998 |
|
Utama
IV Blok BK 11, Kemang Pratama - Bekasi |
RS
Mitra Keluarga Bekasi, Jl. A Yani Bekasi
RS Bhakti Kartini, Jl. Kartini 11 Bekasi |
Ny.
Dayanty R. Manapa, SH (i)
Reinando Adipradana
Kharisa Octosari
Amanda Claudia |
Telp
824 14073
HP 0816 1818244 |
| 77 |
354 |
Dr
|
R.A.
Endah S, SpP
|
Kediri
20-12-62 |
Islam |
| Umum
|
:
UNAIR, 1988 |
| Spesialis |
: UNAIR, 2000 |
|
Pisok
II / 14, Sektor 5 Bintaro Jaya-Tangerang |
RSUD
Tarakan Jakarta Pusat
RS Puri Mandiri Kedoya Jakarta Barat |
Ir.
Sutanto Harsono (s)
Daria Ilmasari
Syahwina Inayasari |
Telp
021-735 8541
HP 0816 199 9253 |
| 78 |
355 |
Dr
|
Dance
Theno, SpP
|
Ternate
15-01-60 |
Kristen |
| Umum
|
:
UNSRAT, 1989 |
| Spesialis |
: UNAIR, 2000 |
|
Pejompongan
Dalam 27, Jakarta Pusat |
RS
Pantai Indah Kapuk
RS Siloam Cikarang |
Janty
Laelianus (i)
Audrey Theno
Aurelia Theno
Austin Theno |
Telp
021- 573 6003
HP 0812 995 4000 |
| 79 |
363 |
Dr
|
Alexander
Kaliaga Ginting Suka Sp.P
|
Medan
15-07-60
|
Kristen |
| Umum
|
:
USU, 1987 |
| Spesialis |
: UI, 1999 |
|
Dahlia
III/15, Beji Timur Kav. Depok I-16422 |
RSPAD
Gatot Subroto
Hermina Depok |
Ir.
Morina Barus, MMA (i)
Debora Heru Handojo |
Telp
021-7766134
HP 0811 881 795 |
| 80 |
364 |
Dr
|
Rita
Rogayah Sp.P(K)
|
Jakarta
15-07-61 |
Islam |
| Umum
|
:
UKI, 1987 |
| Spesialis |
: UI, 1999 |
|
Agung
Raya I/16, Lenteng Agung - Jakarta Selatan 12610 |
RS
Mitra Internasional Jatinegara
RS Mitra Keluarga Kelapa Gading
Griya Puspa |
|
|
| 81 |
365 |
Dr
|
Hamdi
Syarifudin Sp.P
|
Jakarta
14-08-61 |
Islam |
| Umum
|
:
UI |
| Spesialis |
: UI, 1999 |
|
Komp
Imigrasi 19, Cengkareng, Jkt-11730 |
RSUD
Koja
RS Mitra Keluarga Bekasi Timur |
Salminafidar |
|
| 82 |
366 |
Dr
|
Maria
C Hanindiyastuti Winurti Sp.P
|
Magelang
07-11-61 |
Kristen |
| Umum
|
:
UNS, 1990 |
| Spesialis |
: UI, 2001 |
|
Kesemek
S / 11, Kalibata Indah-JakSel |
RSPAD
Gatot Soebroto Jakarta
RS Mitra Kemayoran |
|
|
| 83 |
367 |
Dr
|
Retno
Wihastuti Sp.P
|
Jakarta
09-01-61 |
Islam |
| Umum
|
:
UNS, 1987 |
| Spesialis |
: UI, 2001 |
|
Kotabumi
No 33, Jakarta Pusat |
RSPAD
Gatot Soebroto Jakarta
RS Mitra Keluarga Kelapa Gading |
|
|
| 84 |
369 |
Dr
|
Zubaedah
Thabrani Sp.P
|
Jakarta
09-10-61 |
Islam |
| Umum
|
:
UI, 1986 |
| Spesialis |
: UI, 2001 |
|
Media
II Blok AB - 18, Kom. Deppen Cimanggis 16416 |
RS
Paru Dr M. Goenawan Puncak Bogor |
-
Rizal Bastari, Ak (s)
- Ferdiansyah B
- Fanny Zulkarnain |
Telp
874 0245
HP 0812 8007202 |
| 85 |
371 |
Dr
|
Fajriwan
Sp.P
|
Padang
27-08-63 |
Islam |
| Umum
|
:
UNAND, 1989 |
| Spesialis |
: UI, 2001 |
|
Angsana
Dalam No. 40 RT. 05 / 05, Kebon Jeruk - Jakarta Barat |
RS
Karya Bakti
RS Azra Bogor |
-
Desvianti SH (i)
- M. Irfan Kamaluddin
- Syarif Hibatullah
- Octovuo Ardiansyah |
Telp
533 2910
HP 0818 869 565 |
| 86 |
372 |
Dr
|
Prasenohadi,
PhD, SpP
|
Jakarta
19-03-65 |
Islam |
| Umum
|
:
UI, 1991 |
| Spesialis |
: UI, 2004 |
|
Griya
Tugu Asri A3 / 8, Jl. RTM Kelapa Dua, Cimanggis, Depok 16951 |
RS
Persahabatan
RS M. Husni Thamrin Cilengsi |
-
Ny. Elfina (i)
- Adhe Kurniawan
- Anisa Damayanti
- Anahalia Purnasari |
Telp/
Fax 871 0218
HP 0811 997 514 |
| 87 |
376 |
Dr
|
Taufik
Sp.P
|
Jakarta
14-04-61 |
Islam |
| Umum
|
:
UNAND, 1989 |
| Spesialis |
: UI, 2001 |
|
Gading
Raya II No. 3 Rt 013/010, Jakarta Timur 13031 |
RSU
Bekasi
RS Ananda |
-
Dr Mevifianti (i)
- Eka Agustia Rahma Putri
- Muhammad Luthfi
- Rizka Tri Amalia Putri |
Telp
021-4713213
HP 0816 1914 725 |
| 88 |
377 |
Dr
|
Budhi
Antariksa, PhD, SpP
|
Palu
18-12-66 |
Islam |
| Umum
|
:
UI, 1991 |
| Spesialis |
: UI, 2004 |
|
Way
Sepatih I / 6, Tanjung Duren - Jakarta Barat |
RS
Persahabatan
RS Siloam Gleanegales Lippo Karawaci |
-
Dr Rianti Koesrindartini (i)
- Anisa Ramadhiarti
- Andito Pramadika
- Andanu Raditya |
HP
0818 0205 1818 |
| 89 |
380 |
Dr
|
Subagyo,
SpP
|
Malang
17-01-62 |
Islam |
| Umum
|
:
UNIBRAW, 1990 |
| Spesialis |
: UI, 2002 |
|
Teratai
Putih I / III No. 129 Rt 04/ Rw 04, Klender - Jakarta timur |
RS
Pasar Rebo Jakarta |
-
Nurjanah, SH (i)
- Luthfi Mardhiansyah
- Muthia Farah Ashma |
Telp
021 - 861 0921
HP 0816 138 7892 |
| 90 |
381 |
Dr
|
Syafrizal,
SpP
|
Medan
01-07-66 |
Islam |
| Umum
|
:
USU, 1990 |
| Spesialis |
: UI, 2001 |
|
Raya
Bogor 59 Rt 02/03, Belakang Kantor Pos Giro Kramat Jati, Jak-Tim |
RSUD
Pasar Rebo
RSUD Bakti Husada |
-
Dr Nurzahara (i)
- Muh. Chairul Syah
- Nuralifah Zalfa |
Telp
021 - 826 50142
HP 0815 1416 5828 |
| 91 |
382 |
Dr
|
Febrina
Susanti, SpP
|
Bukit
Tinggi
21-02-62 |
Islam |
| Umum
|
:
UNAND, 1988 |
| Spesialis |
: UI, 2002 |
|
Taman
Malaka Selatan Blok A1 / 43, Pondok Kelapa - Jakarta Timur |
RS
Budhi Asih Jakarta
RS Haji Jakarta Timur |
-
Tn. Yulius Kamal, SE (s)
- Bagas Rahmattullah |
Telp
021 - 865 1563
HP 0816 964 375 |
| 92 |
384 |
Dr
|
Eva
Pandu, SpP
|
Jakarta
22-10-60 |
Islam |
| Umum
|
:
UNAND, 1988 |
| Spesialis |
: UI, 2002 |
|
Jati
Rangga Raya 90 Rt.02/09, Jati sampurna Kranggan - Cibubur |
RS
Pelni |
-
Muh. Yamin Tawari (s)
- Berly
- Fikri
- Nahda |
Telp
021-845 99111, Fax. 021-845 99112
HP 0811 889 023 |
| 93 |
385 |
Dr
|
Natasya
R. Kandou, SpP
|
Ujung
Pandang
28-01-63 |
Kristen |
| Umum
|
:
UI, 1987 |
| Spesialis |
: UI, 2004 |
|
Daksinapati
Timur IV / C6, Rawamangun - Jaktim |
RSUD
Koja
RS Husada |
-
Rudolf A. Tuhusula (s)
- Joy Eirene Tuhusula |
Telp
021 - 489 4724
HP 0816 112 3869 |
| 94 |
386 |
Dr
|
Erlina
Burhan, MSc, SpP
|
Padang
15-05-64 |
Islam |
| Umum
|
:
UNAND, 1990 |
| Spesialis |
: UI, 2004 |
|
Perhubungan
XI/83, Rwmangun-Jkt Tim |
Griya
Puspa
RS Islam Jakarta Utara |
-
Tn. Edwar Nurdin (s)
- Sarah Qanita Edwar
- Hana Dzakira Edwar
- Gina Taqiyya Edwar |
Telp
021 - 470 663
HP 0816 1628471 |
| 95 |
387 |
Dr
|
Andi
Nurjihad, SpP
|
Wajo
(Sulsel)
09-06-62 |
Islam |
| Umum
|
:
UNHAS, 1989 |
| Spesialis |
: UI, 2003 |
|
Bulak
Kapal Permai AF IV / 72 RT. 08 / 14, Bekasi Timur |
RS
Polri Kramatjati Jakarta
RS Mitra Keluarga Bekasi Timur |
-
Tn. Andi Adnan (alm) (s)
- Andi Muh. Rezaha Anugrah
- Andi Saffana Zahra
- Andi Trana Zafira |
Telp
021 - 881 7221
HP 0812 930 5462 |
| 96 |
388 |
Dr
|
Pahala.,
SpP
|
Medan
30-11-63 |
Kristen |
| Umum
|
:
USU, 1990 |
| Spesialis |
: UI, 2004 |
|
Telaga
Golf Sawangan Blok A IX / 2, Sawangan Depok |
|
-
Ny. Elisabet Hutagaol (i)
- Yosef Reno
- Clara Yosepkine |
Telp
021-77885590
HP 0818 890 5951 |
| 97 |
390 |
Dr
|
Ratnawati,
SpP
|
Palembang
11-11-60 |
Islam |
| Umum
|
:
UNSRI, 1988 |
| Spesialis |
: UI, 2002 |
|
Batan
22, Lebak Bulus - Jakarta Selatan 12440 |
RS
Persahabatan Rawamangun Jakarta |
-
Dr Abdullah Antaria, MPH, PhD (s)
- Saskia
- Ramsyi
- Rizky |
Telp
021 - 769 4844
HP 0813-18740108 |
| 98 |
391 |
Dr
|
Dwijani
Embran, SpP
|
Jakarta
08-01-66 |
Kristen |
| Umum
|
:
ATMAJAYA, 1993 |
| Spesialis |
: UI, 2004 |
|
AIPDA
KS Tubun III / 2, Jakarta 11410 |
|
-
Tn. Felix Fodianto (s)
- Anastasia Pratiwi Fodianto |
Telp
021 - 548 1961
HP 0816 960 881 |
| 99 |
392 |
Dr
|
Yulismar,
SpP
|
Jakarta
24-07-64 |
Islam |
| Umum
|
:
TRISAKTI, 1991 |
| Spesialis |
: UI, 2003 |
|
Bendungan
Hilir XIII / 22, Jakarta Pusat 10210 |
|
|
|
| 100 |
393 |
Dr
|
Achmad
Widiatmoko, SpP
|
Yogyakarta
16-12-61 |
Islam |
| Umum
|
:
UGM, 1988 |
| Spesialis |
: UI, 2004 |
|
Perumahan
Taman Sentosa, Bkok G III / No. 3, Cikarang - Bekasi |
RS
Kab. Bekasi Cibitung
RS Medika Cikarang |
-
Mia Triwahyuni, SH (i)
- Tanya Aya Sofia
- M. Tora Bhanu Pandito |
Telp
8304328
HP 0816 139 7003 |
| 101 |
394 |
Dr
|
Bobby
Drastyawan, SpP
|
Jakarta
19-11-62 |
Islam |
| Umum
|
:
UKI, 1990 |
| Spesialis |
: UI, 2004 |
|
Cipinang
Timur Gang Hanafi No. 6, Jak-Tim |
RSIA
Hermina Depok |
-
Drg. Winny Y. Utom (i)
- Bayu Aji Prakoso |
Telp
021 - 861 5140
HP 0817 176 314 |
| 102 |
431 |
Dr
|
Benyamin
Paulus Octavianus, Sp.P
|
Malang
13-09-63 |
Kristen |
| Umum
|
:
UKI, 1994 |
| Spesialis |
: UNIBRAW, 2004 |
|
Taman
Palem Lestari Blok C 11 / 29, Jakarta Barat 11730 |
RS
Cengkareng
RS Royal Taruma |
-
Irene Linda B. Octavianus (i)
- Belinda H. Octavianus |
HP
0815 1322 0005 |
| 103 |
433 |
Dr
|
Widhi
Usansi, Sp.P
|
Jakarta
02-10-61 |
|
| Umum
|
:
UKI, 1994 |
| Spesialis |
: UNBRAW, 1994 |
|
Bekasi
Timur IV / E23 Rt. 066/ Rw 08, Cipinang besar utara Jatinegara, Jak-Tim |
RS
Siloam Glean Eagles Lippo Cikarang |
-
Ny. Chadidjah Rusdyana Pontoh, SE (i)
- Biondhi Ubaidillah
- Leidhi Dalesta Zalfa
- Erlandhi Hibrizi |
HP
0813 170 59234 |
| 104 |
435 |
Dr
|
Bachtiar
Husain, SpP
|
Pare
- Pare
07-04-63 |
Islam |
| Umum
|
:
UNHAS, 1991 |
| Spesialis |
: UI, 2003 |
|
Siak
J5 / 14, Komp. Bea Cukai, Sukapura - Jakarta Utara |
RSTP
Cisarua Bogor
Klinik Firdaus Jakarta |
-
Ny. Sanurni, SE (i)
- Imam Bintang
- Muh. Firdaus
- Lutfiah Nurul Hikmah |
Telp
440 7322
HP 0818 789 112 |
| 105 |
436 |
Dr
|
Maydie
Esfandiari, SpP
|
Jakarta
04-05-64 |
Islam |
| Umum
|
:
UKI, 1991 |
| Spesialis |
: UI, 2004 |
|
Jati
Murni 3 Rt 004/Rw02, Kel. Jati Padang-Pasar Minggu, Jak - Sel |
RS
Pertamina Pusat |
-
Farhat Alcatiri (Alm) (s)
- Muh. Fahdi
- Adiya Nadiya |
Telp
021-781 9118
HP 0812 991 3749 |
| 106 |
437 |
Dr
|
I.B
Sila Wiweka, SpP
|
Denpasar
01-06-67 |
Hindu |
| Umum
|
:
UNUD, 2003 |
| Spesialis |
: UI, 2003 |
|
Yanatera
14 / 16, Kompl. Bulog, Pondok Melati - Bekasi 17415 |
RS
Peny. Dr Sulianti Saroso Jakarta
RS Satya Negara Jakarta Utara |
-
Ny. Gusti Ayu Putri Laksmi, SE (i)
- I.B. Wisnu Antha Y
- I.A. Aditi Diviya P |
Telp
021-889 73882
HP 0812 813 2978 |
| 107 |
438 |
Dr
|
Linda
Masniari, SpP
|
Medan
14-03-66 |
Islam |
| Umum
|
:
USU, 1989 |
| Spesialis |
: UI, 2004 |
|
Tampak
Siring Indah 107, Bukit Gading-Vila Kelapa Gading, Jak-Ut |
RS
Mitra Kemayoran Jakarta
RS Jakarta |
-
Ir. M Fauzi Lubis (s)
- M. Hasbi Lubis
- Farah F. Lubis
- Fatimah Azzura Lubis |
Telp
021-453 3557
HP 0812 9155159 |
| 108 |
439 |
Dr
|
Ganda
Erikson, SpP
|
Jakarta
14-8-67 |
Kristen |
| Umum
|
:
UKI, 1992 |
| Spesialis |
: UI, 2004 |
|
Jl
I No 21 Rt 07/09 Rawasari, Jak-Tim |
RSUD
Tarakan - Jakarta |
-
Duma Irene Pasaribu SE (i)
- Lukas Iwan H. Tambunan
- Brigita Putri Tambunan
|
Telp
021-856 1977
HP 0816 1390 837 |
| 109 |
440 |
Dr
|
Ario
Patrianto, Sp.P
|
Bogor
17-08-67 |
Islam |
| Umum
|
:
UI, 1995 |
| Spesialis |
: UI, 2005 |
|
Pancawarga
4 / 5, Rt 12/Rw 04, Cipinang Besar-Jakarta 13410 |
RSPAD
Gatot Soebroto Jakarta |
Dr
Iffah Nurhidayanti |
Telp
021-850 2939
HP 0812 990 2356 |
| 110 |
441 |
Dr
|
Bambang
Heru, SpP
|
Semarang
25-07-65 |
Kristen |
| Umum
|
:
UNS, 1994 |
| Spesialis |
: UI, 2004 |
|
Palem
Raya Kavling 1167, Tomang Barat-Baru-Jakarta Barat |
RS
Sumber Waras
RS Pluit
|
|
Telp
021-568 4421
HP 0812 962 4378 |
| 111 |
442 |
Dr
|
Flora
Eka Sari, SpP
|
Jakarta
14-06-68 |
Islam |
| Umum
|
:
UNDIP, 1993 |
| Spesialis |
: UI, 2004 |
|
Suhadi
47, Kompl. Trikora-Halim Perdanakusuma, Jakarta-Timur |
RS
Pusat TNI AU Jakarta Timur
RS Harapan Jayakita |
-
Tn. Stayono Bayu W (s)
- Hariz Bayu Wicaksono
- Muh. Yudha Wibisiono |
Telp
021- 851 5337
HP 0815 811 4868 |
| 112 |
443 |
Dr |
Adria
Rusli, SpP
|
Jakarta
29-03-67 |
Kristen |
| Umum
|
:
UI, 1993 |
| Spesialis |
: UI, 2004 |
|
Raya
Kampung Sawah 21 Rt 01 Rw 04, Jati Melati Pondok Melati 17415 |
RS
Hermina Bekasi
RS Elisabeth Bekasi |
-
Reyni Wijaya (i)
- Andretadeo
- Amadea |
Telp
021-8447527
HP 0812 926 8683 |
| 113 |
444 |
Dr |
Bambang
Irawan Harsono, SpP
|
Jakarta
24-11-64 |
Islam |
| Umum
|
:
UKI, 1993 |
| Spesialis |
: UI, 2004 |
|
AM
Sangaji 31, Petojo Utara-JakPus |
RS
Tugu Ibu Cimanggis
RS Pluit Jakarta |
-
Ny. Ivonne (i)
- Shafa
- Mangun Wibowo
- Jasmine |
Telp
021-638 64189
HP 0812 812 9485 |
| 114 |
445 |
Dr |
Wahyuningsih
Suharno, SpP
|
Jakarta
08-04-66 |
Islam |
| Umum
|
:
ATMAJAYA, 1993 |
| Spesialis |
: UI, 2004 |
|
Kebun
Besar 27, Cilandak-JakSel 12420 |
RS
Pusat Pertamina Jakarta
Praktik Pribadi Jl. Kebun Besar No. 27 Jakarta |
|
Telp
021-769 1763
HP 0812 9180 954 |
| 115 |
446 |
Dr |
Wahyu
Aniwidyaningsih, SpP
|
Jakarta
03-11-73 |
Islam |
| Umum
|
:
UI, 1997 |
| Spesialis |
: UI, 2004 |
|
Gaharu
V 16, Cilandak Barat-JakSel |
Griya
Puspa
Klinik JRC |
-
Ir. Bayu Saudiyo, SH, MBA (s)
- Rati Andhika Samudiyo
- Ardhian Wibisono M Samudiyo |
Telp
021-769 5814
HP 08111 66 299 |
| 116 |
447 |
Dr |
Sita
Laksmi Andarini, Ph.D, Sp.P
|
Surabaya
22-04-73 |
Islam |
| Umum
|
:
UI, 2001 |
| Spesialis |
: UI, 2007 |
|
Curug
Indah A2 5, Jatiwaringin, Jakarta Timur 13620 |
RS
Persahabatan Jakarta |
Ir.
T. Agus Nugroho (s) |
Telp
: 021-861-8673
HP 0818 867 189 |
| 117 |
448 |
Dr |
Zulkarnain
Barasila, Sp.P
|
Jakarta
23-08-1967 |
Islam |
| Umum
|
:
UI, 1992 |
| Spesialis |
: UI, 2005 |
|
Raffles
Hill. Blok 07 17. Cluste Stanley Spring, Cibubur |
|
-
Ny. Mauna Rabindrana (i)
- Hirzi Salsabil
- Zazkia
- Azyyati |
Telp
021-765 2832
HP 0811 170 349 |
| 118 |
449 |
Dr |
Koko
Harnoko, Sp.P
|
Gombong
07-12-65 |
Islam |
| Umum
|
:
UNS, 1992 |
| Spesialis |
: UI, 2005 |
|
Terapi
10 Blok BS-1, Bumi Menteng Asri-Bogor |
RS
Marzuki Mahdi Bogor |
-
Dr Felliyani, Sp.A (i)
- Muthia Ika Laksmi
- Muhammad Isfan Rahadi |
Telp
0251-334060
HP 0816 1106 031 |
| 119 |
450 |
Dr |
Rachmadi
Iwan Guntoro, SpP
|
Wonosobo
01-8-68 |
Islam |
| Umum
|
:
UNDIP, 1993 |
| Spesialis |
: UI, 2004 |
|
Taman
Mediterania Blok A8 30, Bukit Cimangguvila - Bogor |
RS
Haji Pondok Gede Jakarta
RS Islam Jakarta Timur |
-
Iin Indriyani, Ssi (i)
- Aufari Ikhsananda Indrawan
- Belanisa Rozan Indira
- Cyntianisa Rahma Indira |
HP
0818 981147 |
| 120 |
451 |
Dr |
Ni
Wayan Sudiarni, SpP
|
Jakarta
24-06-65 |
Hindu
|
| Umum
|
:
UNUD, 1990 |
| Spesialis |
: UI, 2004 |
|
Almubarok
II No. 36 Rt.08/Rw.02, Joglo Kembangan-Jakarta Barat |
RSUD
Tarakan
RS Medika Lestari |
-
Gusti Bagusmantika (s)
- Gusti Rakadivananda
- Manik Parmelia |
Telp
021-585 4631
Telp 021-585 4631 |
| 121 |
454 |
Dr |
Lusi
Nursilawati, SpP
|
Subang
22-06-66 |
Islam |
| Umum
|
:
ATMAJAYA, 1993 |
| Spesialis |
: UI, 2004 |
|
Taman
Depok Permai C1 2, Depok Timur |
RS
Sentra Medika, Jl. Raya Bogor Cisalak
RS Media, Jl. Alternatif Cibubur Cilengsi |
-
Banu Warsito, SE (s)
- Faris Ksatrianto
- Shabrina Petatriana
|
Telp
021-778 23451
HP 0818 411274 |
| 122 |
455 |
Dr
|
Atika
Sari, SpP
|
Jakarta
07-05-67
|
Islam |
| Umum
|
:
UI, 1993 |
| Spesialis |
: UI, 2004 |
|
Kesadaran
IV No. 5, Rt 10 Rw 01, Cipinang Muara - Jakarta Timur |
RS
Dr Mintohardjo
Klinik Bluedot Gelong Baru Utara Jakarta |
-
Tn. Kudiarto (s)
- Lintang Dewi Sekarlangit
- Surya Yudha Pratidina |
Telp
850 0673
HP 0818 480 917 |
| 123 |
460 |
Dr
|
Ahmad
Subagyo, Sp.P
|
Pati
24-05-64 |
Islam |
| Umum
|
:
UNDIP, 1991 |
| Spesialis |
: UI, 2007 |
|
Ciledug
Raya-Gang Langgar II/4, Kreo Ciledug-Tangerang 15155 |
|
-
Ny. Sri Lestari (i)
- Aninditya Hasna Kurniati
- Amelia Nur Hasanah |
Telp
021-734 52130
HP 0812 995 3855 |
| 124 |
461 |
Dr
|
Yani
Purnamasari, Sp.P
|
Surakarta
25-03-6 |
Islam |
| Umum
|
:
UNS, 1995 |
| Spesialis |
: UNS, 2006 |
|
Wisma
Harapan II Cimanggis , Blok H3 No.3, Mekarsari - Cimanggis, Depok |
RS
Jakarta |
-
Ir. Yunus Sancoko HP, M.Komp (s)
- Olga Padmasari Anggraini
- Krishna Dewangga Valencio |
HP
0812 261 0557 |
| 125 |
465 |
Dr
|
Ni
Nyoman Priantini, Sp.P
|
Surakarta
10-09-67 |
Hindu |
| Umum
|
:
UNS, 1993 |
| Spesialis |
: UNS, 2006 |
|
Salemba
Tengah Gg III C No. 359, Rt 04/Rw 04 Paseban Senen - Jak-Pus |
RS
Pertamina Jaya Jakarta |
-
I Kadek Jumartawan, S.Sos
- I Made Bagus Riawan |
HP
0816 161 2595 |
| 126 |
466 |
Dr
|
Santi
Rahayu Dewayanti, Sp.P
|
Jakarta
01-10-66 |
Islam |
| Umum
|
:
UKI, 1990 |
| Spesialis |
: UI, 2006 |
|
Lapangan
Roos II/3, Tebet-JakSel 12840 |
RS
Zahirah Jakarta |
-
Ir. Arief Budiman (s)
- Athira Roosrania Qatrunnada
- Alya Roosrahima Qairunnisa |
Telp
021-829 0334
HP 0856 758 6681 |
| 127 |
508 |
Dr
|
Yahya,
Sp.P
|
Sidoarjo
16-07-64 |
Islam |
| Umum
|
:
UNAIR, 1994 |
| Spesialis |
: UNAIR, 2006 |
|
Mess
Perwira (Dokter), Jl. RS Polri Kramat Jati, RT 001 RW 005 No. 7, Jak -
Tim |
SMF
Paru RUMKITPOLPUS RS Sukanto |
-
Rachmawati (i)
- Rahmat MA
- Syahrul MR |
HP
0812 307 6010 |
| 128 |
514 |
Dr
|
Titi
Sundari,Sp.P
|
Madiun
23-02-67 |
Islam |
| Umum
|
:
UNAIR, 1992 |
| Spesialis |
: UNAIR, 2006 |
|
Bambu
Indah 53 RT 09 RW 03, Kel. Kalisari, Kec. Pasar Rebo, Jakarta Timur |
RS
Puri Medika
RS Penyakit Infeksi Suliati Saroso |
-
Tato Miraza (s)
- Aisyah S Mardhotillah
- M. Yusuf Fadhillah
- M. Ikhsan Rahman |
HP
0858 8088 1885 |
| 129 |
526 |
Dr
|
Marlond
Rainol Leleulya, Sp.P
|
Ternate
02-12-74 |
Kristen |
| Umum
|
:
UI, 2000 |
| Spesialis |
: UI, 2006 |
|
Paseban
Timur Gg 14 / 285D, JakPus |
|
Dr
Maria Octaviany, Sp.S |
Telp
021-919 1656
HP 08159778337 |
| 130 |
528 |
Dr
|
Diah
Handayani, Sp.P
|
Jakarta
10-07-76 |
Islam |
| Umum
|
:
UI, 2000 |
| Spesialis |
: UI, 2007 |
|
Swadarma
Utara IV Gg Kenanga 3 / 47 RT 004 Rw 01 Ulujami Pesanggrahan, Jak-Sel |
|
-
Tn M Zulfitri, ST (s)
- Muhammad Abdurrahman Hafidz
- Muhammad Zulhadi Hilmy
|
HP
0858 80768328 |
| 131 |
545 |
Dr
|
David
Ridarwan Liunanda, Sp.P
|
Pekanbaru
26-07-65 |
Kristen |
| Umum
|
:
UI, 2000 |
| Spesialis |
: UI, 2007 |
|
Mangga
VII Blok A3/3 Griya Harapan Permai Bekasi |
RS
Hosana Medica Cikarang Bekasi |
-
Dr Ingrid Megawati Barlian Liunanda
- Evangeline Fidelia Liunanda
- Tiffany Nathania Liunanda |
Telp
021-88878128
HP 0817-841267 |
| 132 |
548 |
Dr
|
Deasy
Wirasiti, Sp.P
|
Jakarta
23-12-76
|
Islam |
| Umum
|
:
UI, 2001 |
| Spesialis |
: UI, 2007 |
|
Rawasari
Timur I Dalam 23 RT 08 RW 02, Kel. Cempaka Putih Tmur, Kec. Cempaka Putih
Jakarta Pusat 10510 |
|
-
Tn. Wildan Sani (s)
- Rafi Ananda Alden |
Tep.
021-4200 036/ 70193601
HP 0815 180 9760 |
| 133 |
549 |
Dr
|
Erfin
Muhafril, Sp.P
|
Tanjung
Karang
02-04-68
|
Islam |
| Umum
|
:
UNSRI, 1994 |
| Spesialis |
: UI, 2007 |
|
BTN
Sykline Indah Blok D/67, Matoa Rt 002/13, Kel. VIM Kotaraja Jayapura |
|
-
Ny. Evi Handayani (i)
- Rahafian Muhanifsyah
- Ratyanisa Hakilah |
Telp
021-86144026
HP 0855 780 1941 |
| 134 |
551 |
Dr |
Neni
Sawitri, Sp.P
|
Surakarta
13-08-67 |
Islam |
| Umum
|
:
UNS, 1993 |
| Spesialis |
: UI, 2007 |
|
Kedongdong
C2 21 Villa Citra, Bantar Jati Bogor |
RSTP
Cisarua |
-
Dwi Mumpuni (s)
- Luthfira Darmaningtyas
- Rafika Prahawardani |
HP
0812 9616534
|
| 135 |
552 |
Dr |
Tria
Damayanti, Sp.P
|
Tulung
Agung
26-04-76 |
Islam |
| Umum
|
:
UI, 2000 |
| Spesialis |
: UI, 2007 |
|
Pos
Pengumben 36 Jkt-Bar 11540 |
|
-
Tn. Budi Syachbudin, ST (s)
- Muhammad Izza Rayyan Syachbudin |
Telp
021-53244508
HP 0816 951 863 |
| 136 |
554 |
Dr |
Hermawan
Setyanto, Sp.P
|
Pemalang
18-05-74 |
Islam |
| Umum
|
:
UI, 1998 |
| Spesialis |
: UI, 2007 |
|
Pancoran
Barat VIII 16 Rt10/03, Pancoran Jakarta Selatan |
|
-
Ny. Irene Virtania (i)
- Galuh Rhaka Wiratama
- Pradhika Arya Wiratama |
Telp
021-7984416
HP 0815 1101 2004 |
| 137 |
556 |
Dr |
Fathiyah
Isbaniyah, sp.P
|
Jakarta
21-09-75 |
Islam |
| Umum
|
:
UI, 2000 |
| Spesialis |
: UI, 2007 |
|
Rawamangun
Muka VI 1 Jkt-Tim 13220 |
RS
Persahabatan |
-
Dr Syarif Faisal, Sp.A (s)
- Emir Gibraltar Faisal
- Omar Mukhtar Syarif |
Telp
021-4750579
HP 0852 17011774 |
| 138 |
558 |
Dr |
Dicky
Soehardiman, Sp.P
|
Palembang
30-06-70 |
Islam |
| Umum
|
:
UNIBRAW, 1998 |
| Spesialis |
: UI, 2007 |
|
Pulo
Siri Raya Blok AE274, Pekayon Jaya-Bekasi Selatan |
RS
Persahabatan Jakarta |
-
Ny. Aliva (i)
- M. Krisnadiva Soehardiman
- Putri Kiaradiva Ramadhani
- Bunga Kayladiva Az Zahra |
Telp
021-82415706
HP 0813 11450 975 |
| 139 |
560 |
Dr |
Nurhayati,
Sp.P
|
Jakarta
29-09-68 |
Islam |
| Umum
|
:
YARSI, 1996 |
| Spesialis |
: UI, 2007 |
|
Sawo
III / 54 Rt 9/07, Cipete Utara, Jakarta Selatan |
RS
HA. Rotinsulu Bandung |
-
Tn Jajang Herman (s)
- Salsabila Putri Anjati
- Kinara Jehan Aulia |
Telp
021-726 7303
HP 0815 928 8934 |
| 140 |
561 |
Dr
|
Budhi
Imansyah, Sp.P
|
Jakarta
09-09-70 |
Islam |
| Umum
|
:
TRISAKTI, 1998 |
| Spesialis |
: UI, 2007 |
|
Citarum
13 Rt 02/01, Kel. Cideng Kec. Gambir Jkt-Pus 10150 |
|
|
HP
0813 85 700 750 |
| 141 |
608 |
Dr
|
Suharsono,
Sp.P
|
Sidoarjo
29-12-58 |
Islam |
| Umum
|
:
UNIBRAW , 1985 |
| Spesialis |
: UNIBRAW, 2007 |
|
|
RSPAD
Gatot Soebroto |
-
Ny. Umi Abibah (i)
- Erlys Kurnia Hibayanti
- Safrida Wulandari |
HP
0813-33989950 |
| 142 |
611 |
Dr
|
Jokebet
Dwikoriana Dian Ariani, Sp.P
|
Surabaya
30-10-68 |
Kristen |
| Umum
|
:
UNIBRAW , 1995 |
| Spesialis |
: UNIBRAW, 2008 |
|
Pesona
Georgia TA 3/6 Kota Wisata Cibubur |
RSAL
Mintoharjo - Jakarta |
-
James Fiedel Robot (s)
- Rendy Ronaldo Robot
- Renita Yohana Robot |
HP
081511273967,
0888-4961221 |
