Anggota PDPI cabang Jawa...
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Anggota PDPI cabang Jawa Timur No NPA Nama No. MDSp- IDI Tempat Lulus Dokter Lulus Spesialis 055 Prof. Adji Widjaja, dr., Sp.P(K) 1240 Surabaya UNAIR 10-04-65 UNAIR 12-01- 71 06-02-37 056 Prof. Dr. Thomas 2770 Nganjuk UNAIR 31-01-66 UNAIR 14-04- 71 V.M. Kardjito, dr., Sp. P(K) 16-07-38 060 H. Abdul Mukty, dr., Sp.P(K) 1982/2716/15 5/ Surabaya UNAIR 23-08-65 UNAIR 18-04- 75 XIV-155 19-11-35 065 Prof. Dr. Benjamin 2769 Surabaya UNAIR 29-05-71 UNAIR 09-02- 76 P Margono, dr., Sp. P(K) 19-11-35 (Meninggal) 068 Sahim Rusdiah, dr., Sp.P 955 Pasuruan UNAIR 30-07-60 UNAIR 06-12- 67 23-05-29 069 Slamet Hariadi, dr., Sp.P(K) 22-09-46
Transcript of Anggota PDPI cabang Jawa...
Anggota PDPI cabang Jawa Timur
No
NPA Nama
No. MDSp-
IDI Tempat
Lulus Dokter
Lulus Spesialis
055 Prof. Adji Widjaja, dr., Sp.P(K) 1240 Surabaya UNAIR 10-04-65 UNAIR
12-01-
71
06-02-37
056 Prof. Dr. Thomas 2770 Nganjuk UNAIR 31-01-66 UNAIR
14-04-
71
V.M. Kardjito, dr., Sp. P(K) 16-07-38
060 H. Abdul Mukty, dr., Sp.P(K)
1982/2716/15
5/ Surabaya UNAIR 23-08-65 UNAIR
18-04-
75
XIV-155 19-11-35
065 Prof. Dr. Benjamin 2769 Surabaya UNAIR 29-05-71 UNAIR
09-02-
76
P Margono, dr., Sp. P(K) 19-11-35
(Meninggal)
068 Sahim Rusdiah, dr., Sp.P 955 Pasuruan UNAIR 30-07-60 UNAIR
06-12-
67
23-05-29
069 Slamet Hariadi, dr., Sp.P(K) 22-09-46
070 Prof. Dr. Muhammad
1983/3053/48
2/ Gresik UNAIR 21-07-73 UNAIR
27-10-
78
Amin, dr., Sp.P(K) XIV-482 10-08-47
071 H Samsul Harun
1982/2709/14
8/ Probolinggo UNAIR 07-04-66 UNAIR
02-12-
79
Alrasjid, dr., Sp.P(K) XIV-148 07-04-36
073 M Yusuf Wibisono, dr., 073 Boyolali UNAIR 22-12-73 UNAIR
16-06-
79
Sp.P(K), FCCP 02-01-47
075 Sumarno, dr., Sp.P(K)
1982/2711/15
6/ Buyaran UI 14-09-65 USU
11-08-
78
XIV-156 Demai
01-10-39
078 Achmad Muchidin 2772 Probolinggo UNAIR 1968 UNAIR
18-05-
82
Razak, dr., Sp.P 18-08-41
164 Dr. Justinus Frans Palilingan, dr.,
1985/3504/07
8/ Surabaya UNAIR 23-12-67 UNAIR
06-02-
84
Sp.P(K) XIV-078 06-10-44
168 Kemas M. Adil, dr., Sp.P(K) 03-04-45 UNAIR 1972 UNAIR
11-09-
86
171 Indra Pinarta, dr., Sp.P 1987/3954/ Bojonegoro
UNBRA
W 30-10-76 UNAIR
11-09-
86
XIV/154 26-04-45
188 Sri Prihatini 1987/3813/ Yogyakarta UGM 09-12-70 UNAIR
06-11-
86
Boestan, dr., Sp.P(K) 08/XIV-08 2605-45
195 Kasdi Soepadmo, dr., Sp.P 1991/4348/ Lumajang UNAIR 15-07-76 UNAIR
23-08-
90
XIV-046 31-0547
211 Donny Irawan, dr., Sp.P 1999/4349/ Surabaya Udayana 29-07-78 UNAIR
05-05-
90
XIV-047 28-11-81
213 H Sofyan Hasan Labuhan USU 1981 UNAIR 1991
Siregar, dr., Sp.P Bilik
27-07-47
217 Isnu Pradjoko, dr., Sp.P(K) 1996/4694/ Blitar UNAIR 08-09-77 UNAIR
27-06-
91
XII-009 22-08-50
220 Dr. Tahan P Hutapea, dr., 1992/4465/ Tarutung USU 16-09-78 UNAIR
13-06-
91
Sp.P, MARS XIV-079 06-09-50
222 Budi Haryanto, dr., Sp.P 06-08-49 UGM 1977 UNAIR
13-01-
92
225 Budi Lasmono, dr., Sp.P 1995/4617/ Surabaya UNAIR 08-09-82 UNAIR
27-06-
92
VIV-025 03-04-55
226 Rusli Witono, dr., Sp.P 1995/4615/ Semarang UNAIR 27-04-78 UNAIR
27-02-
92
XIV-023 08-08-48
246 Harianto 1995/4679/ Surabaya
UNBRA
W 04-10-80 UNAIR
27-04-
93
Tanumihardjo, dr., Sp.P XII-087 11-09-51
247 Dr. Daniel 1945/4619/ Surabaya UGM 30-12-82 UNAIR
04-02-
93
Maranatha, dr., Sp.P(K) XIV027 23-06-55
249 Ediyono, dr., Sp.P 1995/4618/ Magelang UGM 29-03-80 UNAIR
20-04-
94
XIV-026 13-02-55
250 T. Herry Santosa, dr., Sp.P 1995/4681/ Tuban UNAIR 27-11-80 UNAIR
20-04-
94
XII-089 27-03-53
252 Yanto Poernomohadi, dr., Sp.P 1995/4680/ Bojonegoro UNAIR 19-12-77 UNAIR
18-02-
95
XIV-088
280 H. Endro Sukmono, dr., Sp.P 1995/4614/ Pekalongan UNAIR 23-08-84 UNAIR
09-08-
94
XIV-022 03-11-54
284 Winariani Koesoemoprodjo, 1995/4678/ Sampang UNAIR 24-12-81 UNAIR
22-08-
94
dr., Sp.P(K), MARS., FCCP XII-086 13-07-54
287 Edi Nurtjahja, dr., Sp.P Jakarta UNAIR 1981 UNAIR
12-08-
96
10-06-52
288 Nurlaeli Supartini 1996/4695/ Pemalang UNAIR 12-02-81 UNAIR
19-01-
95
Indronoto, dr., Sp.P 16-10-54
290 Dr. Soedarsono, dr., Sp.P(K) 1996/4713/ Surabaya UNAIR 26-01-84 UNAIR
24-10-
94
XII-028 23-11-55
300 Moch. Zainun, dr., SpP Surabaya
UNIBRA
W 1984 UNAIR
15-08-
96
26-03-55
302 Purwanto, dr., Sp.P 1996/4714/ Madiun UNAIR 03-04-83 UNAIR
10-01-
96
XII-029 21-03-57
337 Arief Hermanto, dr., Sp.P Surabaya UNAIR 1984 UNAIR
23-06-
97
07-09-57
342 Rustam Effendi, dr., Sp.P Pontianak UNAIR 1988 UNAIR
29-08-
96
28-06-58
343 Dr. H. Ahmad Zainullah, dr., Bangkalan UNAIR 07-07-88 UNAIR
12-12-
96
Sp.P 07-10-61
346 Budi Sutedja, dr., Sp.P Surabaya UNAIR 19-01-89 UNAIR
10-02-
99
03-12-63
347 Supriyadi, dr., Sp.P Sidoarjo UNAIR 30-01-86 UNAIR 1997
08-0858
350 Diah Roesmawati, dr., Sp.P Surabaya UNAIR 1988 UNAIR
01-11-
97
30-05-63
351 Caecilia F Lusida, dr., Sp.P Surabaya UNAIR 1986 UNAIR
23-06-
97
13-05-60
353 Krisbiyanto, dr., Sp.P Bangil
UNBRA
W 22-10-86 UNAIR
01-05-
01
23-01-61
356 Didik Purbandiyono, dr., Sp.P Jombang UNAIR 20-02-86 UNAIR
01-05-
01
29-01-58
357 Suhartadi, dr., Sp.P Blitar
UNBRA
W 1987 UNAIR
15-04-
03
19-10-59
395 Syahril Hidayat, dr., Sp.P Sampang UNAIR 01-03-89z UNAIR
15-04-
03
22-06-59
396 Bambang Madiun
UNBRA
W 1989 UNAIR
01-05-
01
Sadworo, dr., Sp.P 02-12-59
398 Helmia Hasan, dr., Sp.P(K), Yogyakarta UNDIP 1985 UNAIR 2001
M.Pd.Ked, FCCP 15-11-59
401 Nur Indah Sawitri, dr., Sp.P Surabaya UNAIR 1990 UNAIR 2000
27-01-65
402 Mei Budi Magetan UNAIR 1991 UNAIR 2001
Prasetyo, dr., Sp.P 17-05-61
403 Dr. Muzaijadah Retno Surabaya UNAIR 1991 UNAIR 2002
Arimbi, dr., Sp.P 23-10-63
404 R. Moh. Iqbal Yogyakarta UNAIR 1998 UNAIR 2003
Adisukarno, dr., Sp.P 31-05-61
405 Hanto Wihardjo, dr., Sp.P Pati UNS 1990 UNAIR 2001
29-03-63
407 Hermawan Chrisdiono, dr., Sp.P Jombang UNAIR 1987 UNAIR 2003
12-04-60
408 Dwiraras Radityawan, dr., Sp.P Madiun UNAIR 1987 UNAIR 2003
30-03-61
409 Tetra Agung Wahono, dr., Sp.P Sumenep
UNBRA
W 1991 UNAIR
18-01-
06
19-04-64
410 Atok Irawan, dr., Sp.P Sidoarjo UNAIR 1991 UNAIR 2000
01-05-66
412 Oktiningsih, dr., Sp.P Kediri UNAIR 1990 UNAIR 2001
30-04-65
413 Bambang Subarno, dr., Sp.P Madiun UGM 07-91 UNAIR 2004
30-04-65
414 Sigit Aprianto, dr., Sp.P Malang
UNBRA
W 00-12-88 UNAIR
18-01-
06
24-04-59
423 Kusdiantoro ,dr., Sp.P Madiun UNAIR 00-01-89 UNAIR 2007
12-07-61
424 Jan Arif Kadarman, dr., Sp.P Bandung Mara- 09-11-91 UNAIR 2007
27-04-64 natha
425 Ignatius. Hanny Handoko Malang UNAIR 31-03-88 UNAIR 2004
Tanuwijaya, dr., Sp.P 29-07-61
426 Dr. Laksmi Wulandari Surabaya UNAIR 14-07-93 UNAIR
15-04-
03
, dr., Sp.P(K), FCCP 16-05-68
490 Affan Fatkhur Ahmad, dr., Sp.P Sidoarjo UNAIR 31-12-01 UNAIR
27-07-
07
28-12-76
492 Mulyati Amir, dr., Sp.P Makassar UNHAS 1995 UNAIR
27-07-
07
21-04-68
496 Resti Yudhawati Cimahi UNAIR 28-01-02 UNAIR
11-07-
09
Meliana, dr., Sp.P(K) 06-12-76
498 Ririek Parwitasari, dr., Sp.P Jakarta UNAIR 19-10-95 UNAIR
31-12-
08
10-08-68
499 Ganis Tjahyono, dr., Sp.P Surabaya UNAIR 11-03-93 UNAIR 2010
22-01-68
506 Susaniwati, dr., Sp.P Surabaya UNAIR 00-03-95 UNAIR 2004
10-12-69
507 Agus Hidayat, dr., Sp.P Ponorogo
UNBRA
W 1991 UNAIR 2004
17-08-64
509 Judyanto Tjahjo Santoso, dr., SpP Surabaya
UDAYA
NA 1995 UNAIR 2004
02-03-1970
510 Santoso, dr., Sp.P Kediri UNS 1991 UNAIR 2005
16-05-65
513 Dr. Farida Anggraini Surabaya Wijaya - 1994 UNAIR 2006
Soetedjo , dr., Sp.P 01-05-68 Kusuma
517 Bambang Susilo Malang Udayana 1991 UNAIR
9-6-
2006
Simon , dr., Sp.P 11-12-63
523 Wiwik Kurnia Ilahi, dr., Sp.P Kediri Unisula 00-01-93 UNAIR
19-04-
06
18-09-67
530 Budi Santosa, dr., Sp.P Purbalingga UNDIP 07-97 UNAIR
18-07-
10
06-10-71
531 Christina, dr., Sp.P Malang Udayana 1996 UNAIR
31-12-
08
07-03-69
534 Agung Kristyono, dr., Sp.P
535 Hamida, dr., Sp.P Kediri Hangtuah 01-03 UNAIR
03-01-
10
26-03-76
581 Syaiful Hidayat, dr., Sp.P Madura UI 06-06-00 UI 2010
10-01-74
701 Isnin Anang Marhana, dr., Sp.P(K), Surabaya UNAIR Des 03 UNAIR 2010
FCCP. 07-11-78
702 Arief Bakhtiar, dr., Sp.P Surabaya UNAIR 2003 UNAIR 2011
22-10-78
703 Tutik Kusmiati, dr., Sp.P(K) Tulung- UNAIR 19-01-00 UNAIR
03-01-
10
agung
11-04-75
705 Sri Sarwosih Indah Surakarta UNDIP 25-03-96 UNAIR
Des
2011
Marthaty, dr., Sp.P 18-03-69
706 Fitri Sriyani, dr., Sp.P Kediri Udayana 13-02-95 UNAIR
Des
2011
11-12-70
707 Prastuti Surabaya UNAIR 2003 UNAIR
Juli
2012
Astawulaningrum, dr., Sp.P 17-08-78
709 Movita Hidayati, dr., Sp.P Jember UNAIR 36896 UNAIR
09-01-
11
12-08-75
712 Anna Febriani, dr., Sp.P Palembang UNS 1997 UNAIR
Juni
2013
09-02-71
715 Mifta Khussurur, dr., Sp.P Boyolali UNS 08-10-94 UNAIR Juli
2012
27-07-69
717 Aisyah Ramadona Surabaya UNAIR 22-12-05 UNAIR
Juli
2013
Retnowulan, dr., Sp.P 13-08-79
719 Indrayani, dr., Sp.P Bali Udayana 1995 UNAIR Jan 2013
21-11-69
720 Wiwin Is Effendi, dr., Sp.P Lamongan UNAIR 2002 UNAIR
Juni
2013
13-03-78
721 Sri Rejeki Andayani, dr., Sp.P Kediri UNAIR Des-97 UNAIR
Des
2011
09-03-72
723 Mohamad Arfi, dr., Sp.P Jakarta UNAIR 10-10-01 UNAIR Jan 2013
28-06-73
724 Krisna Indrawanto, dr., Sp.P Medan
HANGT
UAH 30-07-03 UNAIR Jan 2013
26-10-75
728 Tjipto Wibowo, dr., Sp.P Merauke Udayana Jan-98 UNAIR 2009
30-05-69
794 Samsuri, dr., Sp.P Jombang UNIBRA 1999 UNAIR
W
02-03-71
814 Haris Abdullah, dr., Sp.P Klaten UGM 28-10-99 UI Jan 2013
22-04-73
248 Cleimens Manyakori, dr., Sp.P
491 Agus Suharto Basuki, dr., Sp.P
15 Desember
1971
536 Taufik, dr., Sp.P
1111 Anton Hariadi, dr., SpP
828 Asep Tri Handoko, dr., Sp.P Surabaya UNAIR 2002 UNAIR
20-09-75
829 Budiyanti, dr., Sp.P Lhokseumawe
UNSYIA
H 2007 UNAIR
29-09-81
832 Dedy Sasongko, dr., Sp.P Kediri UNAIR 1999 UNAIR Jan 2015
20-02-74
875 Yus Priyatna Surabaya UGM 2004 UNAIR
Juni
2014
Adryanto, dr., Sp.P 10-02-77 Yogyakar
ta
877 Nur Aisah Wardani, dr., Sp.P Pamekasan UNDIP 1999 UNAIR Jun-14
27-01-75 Semarang
878 Andri Eko Purnomo, dr., Sp.P Bangkalan
UNIBRA
W 2000 UNAIR Jun-14
31-08-74
880 Mohammad Subkhan, dr., Sp.P Sidoarjo UNAIR 1994 UNAIR Jan 2015
16-06-74
881 Miftahul Arifin, dr., Sp.P Gresik
UNIBRA
W 2001 UNAIR Jan 2015
12-10-73
883 Aries Subianto, d.r, Sp.P Surabaya
Hang
Tuah 1999 UNAIR
27-08-72
920 Ahmad Nurdin, dr., Sp.P Gresik UNHAS 2002 UNAIR Jan 2015
28-09-75
921 Nurlela Damayanti, dr., Sp.P Jombang UNAIR 17-11-99 UNAIR
25-05-74
922 Abdulloh Najich, dr, Sp.P Surabaya UNAIR 2001 UNAIR
21-04-75
923 Detty Rahmawati, dr, Sp.P Surabaya UNAIR 2006 UNAIR
18-12-80
943 Royani Nurrohman, dr., Sp.P
Tegal UNS 2008 UI
Jun
2014
12-09-83
954 Catur Budi Keswardiono, dr., Sp.P Kediri UNAIR UNAIR
04-07-72
955 Khrisma Wijayanti, dr., Sp.P Purworejo UNS 2001 UNAIR
15-01-77
956 Anik Purnawati, dr, Sp.P Tulungagung UANIR 2003 UNAIR
28-03-77
959 Yuniasri Puspito Rini, dr., Sp.P Surabaya UNAIR 2002 UNAIR
06-03-77
960 Pramanindyah Bekti Surabaya
UNIBRA
W 2001 UNAIR
Anjani, dr., Sp.P 23-04-77
961 Rachmad Subagyo, dr., Sp.P Surabaya UNAIR 2001 UNAIR
02-02-77
1002 Adyan Donastin, dr., Sp.P Surabaya UNAIR 2001 UNAIR
29-09-74
1005 Irmi Syafa'ah, dr., Sp.P Surabaya UNAIR 2009 UNAIR
Juni
2016
05-02-1986
1003 Farah Fatma Wati, dr., Sp.P Gresik UNAIR 2004 UNAIR
Juni
2016
25-06-80
1008 Anik Sukmawati, dr., Sp.P Jember UNHAS 2005 UNAIR
Juni
2016
25-09-80
1009 Retna Dwi Puspitarini, dr, Sp.P Banyuwangi Udayana 2005 UNAIR
Juni
2016
03-11-81
1014 Elizabeth Vania Palilingan, dr., Sp.P Surabaya UNAIR UNAIR
Juni
2016
Prayudi Tetanto, dr., Sp.P Surabaya UNAIR
Juni
2016
07 Oktober 1984
Ariani Permatasari, dr., Sp.P Jakarta
TRISAK
TI 2004 UNAIR 2014
27 Januari 1979
1007 Trisasongko Budi Satrio, dr., Sp.P Ujung UNAIR 2004 UNAIR
Pandang
1 Maret 1980
1010 Alfian Nur Rosyid, dr., Sp.P Surabaya UNAIR 2006 UNAIR
29-03-82
Titin Sholihah Agustina, dr., Sp.P Sidoarjo
23 Agustus 1978
Sari Mandayani, dr., Sp.P Madiun
9 September
1975
872 Olivia Benedick S.R. Panggabean, dr.,
SpP
1000 Fadlia Yulistiana, dr., SpP., M.Kes
