No
Urut |
No
Angg |
Gelar |
Nama
|
Tempat,
Tanggal lahir |
Agama |
Pendidikan |
Alamat
Rumah |
Alamat
Praktek |
Keluarga |
Telp
& HP |
| 1 |
036 |
Dr |
Ali Zaini Sp.P
|
Uban
25-06-42 |
Islam |
| Umum
|
:
UI, 1969 |
| Spesialis |
: UI, 1977 |
|
Jend.
Sudirman 2 Rt 09 Rw 13 Balikpapan 76111 |
Praktik
Pribadi Jl. Jend. Sudirman Balikpapan |
Alh. Yohana (i)
Vivi Farida |
Telp
0452 - 423157
HP 0811-544179 |
| 2 |
165 |
Dr
H |
Hasan
Zain Sp.P
|
Peruk
Cabu
15-11-45
|
Islam |
| Umum
|
:
UNAIR , 1975 |
| Spesialis |
: UNAIR , 1984 |
|
Merpati
12 R28 Beruntung Jaya Banjarmasin 70248 |
RS
Ulin - Bajarmasin
RS Islam Banjarmasin
RS Suaka Insan Banjarmasin |
Ny.
Nana Masdiana (i)
Annisa Kumala dewi |
HP
0811-514610 |
| 3 |
221 |
Dr
|
Emil
Bachtiar Moerad Sp.P
|
Banyuwangi
12-08-53 |
Islam |
| Umum
|
:
UNAIR, 1981 |
| Spesialis |
: UNAIR, 1991 |
|
Bengkinang
69 Samarinda 75123 |
RSUD
AW Syahrani - Samarinda
RS Islam Samarinda
Praktik Pribadi Jl. Imam Bonjol 16 - Samarinda |
Ny.
Isyana Widowati (i)
Affandi Wiramur
Nia Puspita Isnani
Deby Adifa |
Telp
0541 - 738949
HP 0811-550427 |
| 4 |
315 |
Dr
|
Abdul
Salam Sp.P
|
Jakarta
14-08-59 |
Islam |
| Umum
|
:
UI, 1985 |
| Spesialis |
: UI, 1997 |
|
Wahidin
Sudirohusodo Gg. Sepakat 6 Komp. Mitra Utama 6 / A-1 Pontianak |
RSUD
Dr Sudarso - Pontianak
RS Antonius - Pontianak
Praktik Pribadi Jl. Tanjungpura 55 - Pontianak |
Dra.
Rachmawati Almazs (i)
Ahmad Fikri Sadzali
Asri Liza Utami |
Telp
0561-7050727
HP 0811-576360 |
| 5 |
338 |
Dr
|
Ali
Assegaff Sp.P
|
Manado
23-10-57 |
Islam |
| Umum
|
:
UNSRAT, 1967 |
| Spesialis |
: UNAIR, 2000 |
|
A.
Yani Km 3,2 No 13 Rt 08 Karang Mekar Banjarmasin Timur 70234 |
RSUD
Ulin Banjarmasin
Klinik Spesialis Sari Mulya - Banjarmasin |
Mastora
Alhabsy (i)
Zaenab Assagaf
Fatimah Assagaf
Rugayah Narjis Assagaf
Umu Kultsum Assagaf
Farwa Ts Assagaf |
Telp
0511-7401614
HP 0816-213665 |
| 6 |
348 |
Dr
|
Mohammad
Isa Sp.P
|
Surabaya
26-05-80 |
Islam |
| Umum
|
:
UNAIR, 1987 |
| Spesialis |
: UNAIR, 1988 |
|
Raya
Bima 18 Pemurus Permai Rt 42 Banjarmasin |
RS
Islam Banjarmasin
RSUD Ulin Banjarmasin
Praktik Pribadi Jl. S Parman 42 Banjarmasin |
Ny.
Eliyani (i)
Mustaqim A.R
Yuniar E.D. |
Telp.
0511 - 3267322
HP 0811 - 503685 |
| 7 |
409 |
Dr
|
Tetra
Agung Wahono, Sp.P
|
Sumenep
19-04-64 |
Islam |
| Umum
|
:
UNIBRAW , 1991 |
| Spesialis |
: UNAIR, 2006 |
|
Tirtonadi
8 Malang |
RSU
H. Badarudin - Tabalong Kalsel
Klinik Umaiyah - Tabalong Kalsel |
Dr
Tri Lestari Rahayu, Sp.A (i)
Ardine Cahya Pratiwi
Kurnia Budi Hartantyo |
Telp.
0341 - 495091
HP 0817307542 |
| 8 |
462 |
Dr
|
Maurits
Marpaung, Sp.P
 |
Jakarta
17-03-70 |
Kristen |
| Umum
|
:
UI, 1996 |
| Spesialis |
: UI, 2006 |
|
M. Iswahyudi 4 Rt. 28 Sepinggan Balikpapan 76115 |
RS
Restu Ibu, Balikpapan |
Ny.
Dameria Panjaitan (i)
Natalia Marpaung
Esther Marpaung |
Telp
0542-761267
HP 0852 171 24536 |
| 9 |
494 |
Dr
|
Donni
Irfandi Alfian, Sp.P
|
Surabaya
16-05-75 |
Islam |
| Umum
|
:
UNAIR , 2000 |
| Spesialis |
: UNAIR, 2007 |
|
Bengkinang
69 Samarinda |
RS
AW Syarani - Samarinda
Apotik Tanjung Batu - Samarinda |
Ny.
Ari Rukwinarni, ST |
|
| 10 |
525 |
Dr
|
Risa
Febriana, Sp.P
|
Pekanbaru
06-02-74 |
Islam |
| Umum
|
:
YARSI, 2001 |
| Spesialis |
: UI, 2006 |
|
Sutan
Syahrir 12A Pontianak 78121 |
BP4
Pontianak |
|
|
