PEROFORMA TO FURNISH THE DETAILS ... - Yenepoya Ayurveda

9
DURATION DESIGNATION NAME OF COLLEGE 01-11-2004 TO 10-11-2009 ASSISTANT PROFESSOR KVG AYURVEDA MEDICAL COLLEGE & HOSPITAL, AMBATE ADKA, KURUNJIBAG, SULLIA 11-11-2009 TO 18-05-2010 ASSOCIATE PROFESSOR KVG AYURVEDA MEDICAL COLLEGE & HOSPITAL, AMBATE ADKA, KURUNJIBAG, SULLIA 20-05-2010 TO 10-11-2014 ASSOCIATE PROFESSOR MUNIYAL INSTITUTE OF AYURVEDA MEDICAL SCIENCES, MANIPAL 11-11-2014 TO 20-11-2019 PROFESSOR MUNIYAL INSTITUTE OF AYURVEDA MEDICAL SCIENCES, MANIPAL 21-11-2019 TO TILL DATE PROFESSOR/PRINCIP AL YENEPOYA AYURVEDA MEDICAL COLLEGE AND HOSPITAL, MANGALORE 25-05-2009 TO 25-05-2014 ASSISTANT PROFESSOR DHANWANTARI AYURVEDA COLLEGE & HOSPITAL 26-05-2014 TO 31-05-2019 ASSOCIATE PROFESSOR DHANWANTARI AYURVEDA COLLEGE & HOSPITAL 01-06-2019 TO 14-12-2019 PROFESSOR DHANWANTARI AYURVEDA COLLEGE & HOSPITAL 16-12-2019 TO TILL DATE PROFESSOR / VICE PRINCIPAL YENEPOYA AYURVEDA MEDICAL COLLEGE AND HOSPITAL, MANGALORE 27-02-1987 TO 12-01-1989 CLINICAL REGISTRAR I P G T & R A JAMNAGAR 04-05-1998 TO 30-04-2002 LECTURER ALVA'S AYURVEDA MEDICAL COLLEGE MOODABIDRE 01-05-2002 TO 15-08-2005 ASSISTANT PROFESSOR ALVA'S AYURVEDA MEDICAL COLLEGE MOODABIDRE 16-08-2005 TO 18-08-2010 PROFESSOR/PRINCIP AL ALVA'S AYURVEDA MEDICAL COLLEGE MOODABIDRE 25-08-2010 TO 30-06-2017 PROFESSOR/PRINCIP AL JSS AYURVEDA MEDICAL COLLEGE, MYSURU 01-07-2017 TO 06-11-2017 PROFESSOR/DEAN/IN CHARGE PRINCIPAL JSS AYURVEDA MEDICAL COLLEGE, MYSURU 07-11-2017 TO 18-06-2020 PROFESSOR/DEAN JSS AYURVEDA MEDICAL COLLEGE, MYSURU 22-06-2020 TO TILL DATE PROFESSOR/ MEDICAL SUPERINTENDENT YENEPOYA AYURVEDA MEDICAL COLLEGE AND HOSPITAL, MANGALORE PEROFORMA TO FURNISH THE DETAILS OFTEACHING STAFF ANNEXURE-I YENEPOYA AYURVEDA MEDICAL COLLEGE AND HOSPITAL (AYU0542) 9845503677 KAUMARABHRIT YA – BALA ROGA REGULAR A BLOCK, G6 GARDENIA, DERALAKATTE, MANGALORE- 575018 HARI NIVASA, KALPAVRIKSHA BUILDING, B.ED CIRCLE, KUNJIBETTU POST, UDUPI - 576102 KARNATAKA AYURVEDIC & UNANI PRACTITIONER S BOARD, BANGALORE 9106 5072500102205700 3 DR. K LAKSHMEESHA UPADHYA RAMACHANDR A UPADHYA K 25-06-1959 AYKB00403 BAMS UNIVERSITY OF MYSORE 1982 MD(AYU) KAUMARABHRITYA GUJARAT AYURVEDA UNIVERSITY, JAMNAGAR 1986 RASA SHASTRA & BHAISAJYA KALPANA REGULAR ROOM NO. 04, GARDYENIA HOSTEL, BEHIND YENEPOYA UNIVERSITY, DERALAKATTE, MANGALORE- 575022 HOSADEVASTHAN A, ADOOR, POST URDUR, KASARAGOD, KERALA-671543 KARNATAKA AYURVEDIC & UNANI PRACTITIONER ’S BOARD 13532 9448255632 B K ROAD GANDHINAGAR, 5 TH CROSS, SHIVAMOGGA- 577401 KARNATAKA AYURVEDIC & UNANI PRACTITIONER ’S BOARD 15454 107801011000185 NAME OF STATE BOARD & REGISTRATION SALARY ACCOUNT NUMBER, NAME OF BANK & BRANCH 137801010020887 TELEPHONE NUMBER & MOBILE NO OF TEACHER PHOTOGRAPH OF TEACHER 9845732866 2 DR. SRIDHAR GOKHALE GAJANAN GOKHALE 03-06-1979 AYRB00195 BAMS RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, BANGALORE 2002 MD(AYU) BHAISHAJYA KALPANA RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, BANGALORE 2009 BAMS MANGALORE UNIVERSITY 1999 MD(AYU) PANCHAKARMA RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, BANGALORE 2004 PANCHAKARMA 1 DR. GURURAJA H SEETHARAMA VAILAYA H 18-03-1977 AYPK00101 PG QUALIFICATION WITH SUBJECT (UNIVERSITY & YEAR) DATE WISE DETAILS OF EXPERIENCE IN CHRONOLOGICAL ORDER ( (1ST APPOINTMENT TO TILL DATE)) DEPARTMENT (SUBJECT OF) NATURE OF PRESENT APPOINTMENT (REGULAR /CONTRACTUAL/DEPUTA TION/PART TIME/ADHOC) LOCAL RESIDENTIAL ADDRESS PERMANENT ADDRESS SR. NO. NAME OF THE TEACHER FATHER'S NAME DATE OF BIRTH TEACHERS CODE UG QUALIFICATION (UNIVERSITY & YEAR) REGULAR HOSADEVASTHA NA, ADOOR, POST URDUR, KASARAGOD, KERALA-671543

Transcript of PEROFORMA TO FURNISH THE DETAILS ... - Yenepoya Ayurveda

Page 1: PEROFORMA TO FURNISH THE DETAILS ... - Yenepoya Ayurveda

DURATION DESIGNATION NAME OF COLLEGE

01-11-2004 TO 10-11-2009ASSISTANT

PROFESSOR

KVG AYURVEDA MEDICAL

COLLEGE & HOSPITAL,

AMBATE ADKA,

KURUNJIBAG, SULLIA

11-11-2009 TO 18-05-2010

ASSOCIATE

PROFESSOR

KVG AYURVEDA MEDICAL

COLLEGE & HOSPITAL,

AMBATE ADKA,

KURUNJIBAG, SULLIA

20-05-2010 TO 10-11-2014

ASSOCIATE

PROFESSOR

MUNIYAL INSTITUTE OF

AYURVEDA MEDICAL

SCIENCES, MANIPAL

11-11-2014 TO 20-11-2019 PROFESSOR

MUNIYAL INSTITUTE OF

AYURVEDA MEDICAL

SCIENCES, MANIPAL

21-11-2019 TO TILL DATEPROFESSOR/PRINCIP

AL

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

25-05-2009 TO 25-05-2014

ASSISTANT

PROFESSOR

DHANWANTARI

AYURVEDA COLLEGE &

HOSPITAL

26-05-2014 TO 31-05-2019

ASSOCIATE

PROFESSOR

DHANWANTARI

AYURVEDA COLLEGE &

HOSPITAL

01-06-2019 TO 14-12-2019 PROFESSOR

DHANWANTARI

AYURVEDA COLLEGE &

HOSPITAL

16-12-2019 TO TILL DATE

PROFESSOR / VICE

PRINCIPAL

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

27-02-1987 TO 12-01-1989 CLINICAL REGISTRAR I P G T & R A JAMNAGAR

04-05-1998 TO 30-04-2002 LECTURER

ALVA'S AYURVEDA

MEDICAL COLLEGE

MOODABIDRE

01-05-2002 TO 15-08-2005

ASSISTANT

PROFESSOR

ALVA'S AYURVEDA

MEDICAL COLLEGE

MOODABIDRE

16-08-2005 TO 18-08-2010PROFESSOR/PRINCIP

AL

ALVA'S AYURVEDA

MEDICAL COLLEGE

MOODABIDRE

25-08-2010 TO 30-06-2017PROFESSOR/PRINCIP

AL

JSS AYURVEDA MEDICAL

COLLEGE, MYSURU

01-07-2017 TO 06-11-2017PROFESSOR/DEAN/IN

CHARGE PRINCIPAL

JSS AYURVEDA MEDICAL

COLLEGE, MYSURU

07-11-2017 TO 18-06-2020 PROFESSOR/DEAN

JSS AYURVEDA MEDICAL

COLLEGE, MYSURU

22-06-2020 TO TILL DATE

PROFESSOR/

MEDICAL

SUPERINTENDENT

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

PEROFORMA TO FURNISH THE DETAILS OFTEACHING STAFF ANNEXURE-I

YENEPOYA AYURVEDA MEDICAL COLLEGE AND HOSPITAL (AYU0542)

9845503677KAUMARABHRIT

YA – BALA ROGAREGULAR

A BLOCK, G6

GARDENIA,

DERALAKATTE,

MANGALORE-

575018

HARI NIVASA,

KALPAVRIKSHA

BUILDING, B.ED

CIRCLE,

KUNJIBETTU

POST, UDUPI -

576102

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD,

BANGALORE

9106

50725001022057003DR. K LAKSHMEESHA

UPADHYA

RAMACHANDR

A UPADHYA K25-06-1959 AYKB00403

BAMS

UNIVERSITY OF

MYSORE

1982

MD(AYU)

KAUMARABHRITYA

GUJARAT AYURVEDA

UNIVERSITY, JAMNAGAR

1986

RASA SHASTRA &

BHAISAJYA

KALPANA

REGULAR

ROOM NO. 04,

GARDYENIA

HOSTEL,

BEHIND

YENEPOYA

UNIVERSITY,

DERALAKATTE,

MANGALORE-

575022

HOSADEVASTHAN

A, ADOOR, POST

URDUR,

KASARAGOD,

KERALA-671543

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

’S BOARD

13532

9448255632

B K ROAD

GANDHINAGAR,

5TH CROSS,

SHIVAMOGGA-

577401

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

’S BOARD

15454

107801011000185

NAME OF

STATE BOARD

&

REGISTRATION

SALARY ACCOUNT

NUMBER, NAME OF

BANK & BRANCH

137801010020887

TELEPHONE

NUMBER &

MOBILE NO OF

TEACHER PHOTOGRAPH OF TEACHER

9845732866

2 DR. SRIDHAR GOKHALEGAJANAN

GOKHALE03-06-1979 AYRB00195

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2002

MD(AYU)

BHAISHAJYA KALPANA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2009

BAMS

MANGALORE

UNIVERSITY

1999

MD(AYU)

PANCHAKARMA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2004

PANCHAKARMA1 DR. GURURAJA HSEETHARAMA

VAILAYA H18-03-1977 AYPK00101

PG QUALIFICATION WITH

SUBJECT (UNIVERSITY &

YEAR)

DATE WISE DETAILS OF EXPERIENCE IN CHRONOLOGICAL ORDER

( (1ST APPOINTMENT TO TILL DATE))

DEPARTMENT

(SUBJECT OF)

NATURE OF PRESENT

APPOINTMENT

(REGULAR

/CONTRACTUAL/DEPUTA

TION/PART

TIME/ADHOC)

LOCAL

RESIDENTIAL

ADDRESS

PERMANENT

ADDRESS

SR.

NO. NAME OF THE TEACHER FATHER'S NAME DATE OF BIRTH

TEACHERS

CODE

UG QUALIFICATION

(UNIVERSITY & YEAR)

REGULAR

HOSADEVASTHA

NA, ADOOR,

POST URDUR,

KASARAGOD,

KERALA-671543

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20-05-1999 TO 02-11-2002

ASSISTANT

PROFESSOR

ALVA'S AYURVEDA

MEDICAL COLLEGE

MOODABIDRE

11-11-2002 TO 19-05-2006

ASSISTANT

PROFESSOR KARNATAKA AYURVED

COLLEGE, MANGALORE

20-05-2006 TO 19-05-2009

ASSOCIATE

PROFESSOR

ALVA'S AYURVEDA

MEDICAL COLLEGE

MOODABIDRE

20-05-2009 TO 19-01-2014 PROFESSOR

ALVA'S AYURVEDA

MEDICAL COLLEGE

MOODABIDRE

20-01-2014 TO 27-04-2020 PROFESSOR

BAPUJI AYURVEDIC

MEDICAL COLLEGE &

HOSPITAL, SHIVAMOGGA

28-04-2020 TO TILL DATE PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

20-06-2002 TO 15-08-2007ASSISTANT

PROFESSOR

MUNIYAL AYURVEDA

COLLEGE

20-08-2007 TO 23-07-2012ASSOCIATE

PROFESSOR

ALVA'S AYURVEDA

MEDICAL COLLEGE

MOODABIDRE

24-07-2012 TO 10-03-2018 PROFESSOR

ALVA'S AYURVEDA

MEDICAL COLLEGE

MOODABIDRE

11-03-2018 TO TILL DATE PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

01-11-2002 TO 31-05-2005ASSISTANT

PROFESSOR

ASHWINI AYURVEDA

COLLEGE, DAVANAGERE

02-01-2007 TO 01-01-2010ASSISTANT

PROFESSOR

ALVAS AYURVEDA

MEDICAL COLLEGE,

MOODABIDRE

02-01-2010 TO 01-01-2015ASSOCIATE

PROFESSOR

ALVAS AYURVEDA

MEDICAL COLLEGE,

MOODABIDRE

02-01-2015 TO 30-04-2018 PROFESSORALVAS AYURVEDA

MEDICAL COLLEGE,

MOODABIDRE

02-05-2018 TO TILL DATE PROFESSORYENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

SHAREERA

RACHANA

02-05-2006 TO 09-09-2006ASSISTANT

PROFESSORSVPR AMC& H BADAMI

13-09-2006 TO 08-05-2010ASSISTANT

PROFESSORRGES AMC & H RON

09-05-2010 TO 31-03-2011ASSISTANT

PROFESSOR

BMJ AMC & H

GAJENDRAGADA

01-04-2011 TO 19-12-2011ASSOCIATE

PROFESSOR

BMJ AMC & H

GAJENDRAGADA

20-12-2011 TO 09-11-2016ASSOCIATE

PROFESSORSSVR AMC & H HARUGERI

10-11-2016 TO 25-02-2017 PROFESSOR SSVR AMC& H HARUGERI

27-02-2017 TO 31-07-2018 PROFESSOR DGM AMC & H GADAG

02-08-2018 TO TILL DATE PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

REGULAR

#102-MERIDIAN

STAFF

RESIDENTIAL

APARTMENT

LAXMIGUDDE,

DERALAKATTE,

MANGALORE-

575018

6 DR. SHUBADA. V.ISHRINIVAS K

DESAI15-07-1975 AYST00965

BAMS

KARNATAKA

UNIVERSITY

DHARAWAD

1997

MS(AYU)

SHALYA TANTRA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2002

REGULAR

FLAT NO:205,

INLAND ELAN,

MATADAKANI,

2ND

CROSS,

URWA

MARKET.,MAN

GALORE-575006

SHALYA TANTRA

FLAT NO:205,

INLAND ELAN,

MATADAKANI,

2ND

CROSS,

URWA

MARKET.,MANG

ALORE-575006

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD

12299

153901011001328 9449591820

#192/63 RENUKA

NILAY,

SHIVANAND

NAGAR, GADAG-

582103

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD

12822

106301011006502 9986512892

ROGANIDANA

KRIYA SHAREERA

5DR. RAGHAVENDRA

UDUPA

SHRIDHARA

UDUPA06-02-1974 AYSS00983

BAMS

MANGALORE

UNIVERSITY

1998

MD(AYU)

SAMHITA & SIDDANTHA

KERALA UNIVERSITY

2002

SAMHITA

SIDDANTAREGULAR

2-143 A/2,

PARIKSHI OPP

SHRIKALA

COMPLEX,

KUKKIKATTE,

UDUPI

2-143 A/2,

PARIKSHI OPP

SHRIKALA

COMPLEX,

KUKKIKATTE,

UDUPI

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD

11951

123701011002565 9743286656

7

DR.

CHANNABASANAGOU

DA S

HANAMANTAGOUDAR

SHEKARAGOUDA 01-05-1975 AYKC00830

BAMS

KARNATAKA

UNIVERSITY

DHARAWAD

1998

MD(AYU)

KAYA CHIKITSA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2006

REGULAR

DHANWANTARI

, S.T. COLONY,

PERADKA,

POST MALA,

KARKALA

TALUK, UDUPI-

574122

DHANWANTARI,

S.T. COLONY,

PERADKA, POST

MALA,

KARKALA

TALUK, UDUPI-

574122

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD

10963

182701742000749 94489453984DR. CHANDRAKANTH JOSHISHANKAR

JOSHI22-07-1969 AYPS01013

BAMS

KARNATAK

UNIVERSITY,

DHARWAR

1994

MD(AYU)

PRASUTI TANTRA

UNIVERSITY OF KERALA

2000

PRASUTI & STRI

ROGA

Page 3: PEROFORMA TO FURNISH THE DETAILS ... - Yenepoya Ayurveda

06-11-2006 TO 06-11-2011ASSISTANT

PROFESSOR

ALVAS AYURVEDA

MEDICAL COLLEGE,

MOODABIDRE

07-11-2011 TO 26-12-2017ASSOCIATE

PROFESSOR

ALVAS AYURVEDA

MEDICAL COLLEGE,

MOODABIDRE

28-12-2017 TO 31-12-2017ASSOCIATE

PROFESSOR

KARAVALI AYURVEDIC

MEDICAL COLLEGE

01-01-2018 TO 31-10-2018 PROFESSOR

KARAVALI AYURVEDIC

MEDICAL COLLEGE

17-12-2018 TO TILL DATE PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

24-05-2007 TO 09-09-2010ASSISTANT

PROFESSOR

ALVAS AYURVEDA

MEDICAL COLLEGE,

MOODABIDRE

10-09-2010 TO 10-05-2011ASSISTANT

PROFESSOR

MUNIYAL INSTITUTE OF

AYURVEDA MEDICAL

SCIENCES, MANIPAL

11-05-2011 TO 23-05-2012 ASSISTANT

PROFESSOR

SDM AYURVEDA

COLLEGE, HASSAN

24-05-2012 TO 20-04-2017ASSOCIATE

PROFESSOR

SDM AYURVEDA

COLLEGE, HASSAN

01-05-2017 TO 05-02-2018ASSOCIATE

PROFESSOR

URMILA AYURVEDA

COLLEGE, HOSHIARPUR

06-02-2018 TO 19-01-2019 PROFESSORURMILA AYURVEDA

COLLEGE, HOSHIARPUR

21-01-2019 TO TILL DATE PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

01-01-1999 TO 15-05-2001ASSISTANT

PROFESSOR

SHRI S.B.SIDDHALING

SHIVACHARRY SWAMIJI

AYURVEDIC MEDICAL

COLLEGE AND HOSPITAL,

MUNDARGI, GADAG

30-08-2003 TO 15-12-2008ASSISTANT

PROFESSOR

DHANWANTARI

AYURVED COLLEGE &

HOSPITAL, UTTARA

KANNADA

23-12-2008 TO 31-12-2015ASSISTANT

PROFESSOR

SRI DHARMASTHALA

MANJUNATHESHWARA

COLLEGE OF AYURVEDA,

UDUPI

01-01-2016 TO 31-05-2020ASSOCIATE

PROFESSOR

SRI DHARMASTHALA

MANJUNATHESHWARA

COLLEGE OF AYURVEDA,

UDUPI

01-07-2020 TO TILL DATE PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

10-12-2008 TO 08-07-2010ASSISTANT

PROFESSOR

KARNATAKA MEDICAL

COLLEGE, MANGALORE

09-07-2010 TO 09-12-2013ASSISTANT

PROFESSOR

ALVAS AYURVEDA

MEDICAL COLLEGE,

MOODABIDRE

10-12-2013 TO 06-02-2017ASSOCIATE

PROFESSOR

ALVAS AYURVEDA

MEDICAL COLLEGE,

MOODABIDRE

07-02-2017 TO 09-12-2018ASSOCIATE

PROFESSOR

TAPOVANA AYURVEDIC

MEDICAL COLLEGE &

HOSPITAL, DAVANGERE

10-12-2018 TO 24-12-2018 PROFESSOR

TAPOVANA AYURVEDIC

MEDICAL COLLEGE &

HOSPITAL, DAVANGERE

31-12-2018 TO TILL DATE PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD

32790

100301011004001

#10-9/11 SHREE

ANUGRAHA,

MUGRODI NEAR

NEJIGURI

ANGANAVADI

PADAVU,

MANGALORE

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD

16541

103001011002152 9886059351

9008869106

9341216201

RACHANA

SHARIRREGULAR

1-111 SHANTHI

NILAYA,

JAYANTHI

NAGAR 6TH

CROSS ROAD,

KUKKUNDOOR,

UDUPI-576117

1-111 SHANTHI

NILAYA,

JAYANTHI NAGAR

6TH

CROSS ROAD,

KUKKUNDOOR,

UDUPI-576117

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD

16314

142501141000120

#10-9/11 SHREE

ANUGRAHA,

MUGRODI NEAR

NEJIGURI

ANGANAVADI

PADAVU,

MANGALORE

11 DR. PRIYA PRADEEPSESAPPA

POOJARY M19-05-1981 AYKC01215

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2004

MD(AYU)

KAYACHIKITSA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2008

ROGA NIDANA REGULAR

8 DR. JOSHI SRIDEVI

JOSHI

LAXMANACHAR

YALU

KRISHNAMURTH

Y

08-02-1967 AYDG00498

BAMS

A.P HEALTH

UNIVERSITY,

VIJAYAWADA

1993

MD(AYU)

DRAVYA GUNA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2006

#406, POONAM

GARDEN

APARTMENT,

BLOCK B, 4TH

CROSS, BEJAI,

KAPIKAD RAOD,

MANGALORE-

575003

ASHIRVAD,

NO.4046,

CHURCH ROAD,

HEALTH CAMP,

GADAG-582102

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD

11975

15290174200004210DR. PRALHAD D

SUBBANNAVAR

D P

SUBBANNAVAR02-04-1973 AYRS00881

BAMS

KARNATAK

UNIVERSITY,

DHARWAR

1997

MD(AYU)

RACHANA SHARIR

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2008

DRAVYA GUNA REGULAR

SHREE NIVAS,

H.NO.1-192/1,

NIRMALA

COMPOUND,

NEAR STP,

ENELMAR ROAD,

BAJAL,

MANGALORE-

575007

SHREE NIVAS,

H.NO.1-192/1,

NIRMALA

COMPOUND,

NEAR STP,

ENELMAR ROAD,

BAJAL,

MANGALORE-

575007

99007908869 Dr. NISHA KUMARI

DR. C.

PRABHAKAR

ATHIKARY

16-05-1980 AYRN00215

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2004

MD(AYU)

ROGA NIDANA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2007

ROGA NIDANA REGULAR

Page 4: PEROFORMA TO FURNISH THE DETAILS ... - Yenepoya Ayurveda

01-08-2009 TO 31-07-2014 ASSISTANT

PROFESSOR

KARNATAKA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL

01-08-2014 TO 31-07-2019ASSOCIATE

PROFESSOR

KARNATAKA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL

01-08-2019 TO 28-09-2020 PROFESSORKARNATAKA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL

01-10-2020 TO TILL DATE PROFESSORYENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

PRASOOTI

TANTRA AND

STREEROGA

23-11-2009 TO 30-11-2014ASSISTANT

PROFESSOR

P.N PANICKER

SOUHRUDA AYURVEDA

MEDICAL COLLEGE

01-12-2014 TO 06.12.2019ASSOCIATE

PROFESSOR

P.N PANICKER

SOUHRUDA AYURVEDA

MEDICAL COLLEGE

07-12-2019 TO 09-12-2019 PROFESSOR

P.N PANICKER

SOUHRUDA AYURVEDA

MEDICAL COLLEGE

10-12-2019 TO TILL DATE PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

AGADA TANTRA

AVUM VIDHI

VAIDYAKA

16-06-2008 TO 31-12-2012 ASSISTANT

PROFESSOR

SDM COLLEGE OF

AYURVEDA, UDUPI

01-12-2013 TO 31-03-2016 ASSISTANT

PROFESSOR

SDM COLLEGE OF

AYURVEDA, UDUPI

01-02-2017 TO 29-08-2018ASSOCIATE

PROFESSOR

SDM INSTITUTE OF

AYURVEDA, BANGALORE

SWASTAVRITTA

30-08-2018 TO TILL DATE ASSOCIATE

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE KRIYA SHAREERA

25-06-2010 TO 16-07-2015 ASSISTANT

PROFESSOR

ALVAS AYURVEDA

MEDICAL COLLEGE,

MOODABIDRE

17-07-2015 TO 17-12-2016ASSOCIATE

PROFESSOR

ALVAS AYURVEDA

MEDICAL COLLEGE,

MOODABIDRE

31-12-2016 TO 31-12-2018ASSOCIATE

PROFESSOR

MAHAVEER AYURVEDIC

MEDICAL COLLEGE,

MEERUT

07-01-2019 TO TILL DATEASSOCIATE

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

27-06-2012 TO 30-10-2013ASSISTANT

PROFESSOR

P.N.P.S AYURVEDA

MEDICAL COLLEGE,

KASARGOD

01-11-2013 TO 31-10-2017ASSISTANT

PROFESSOR

KARNATAKA AYURVEDA

MEDICAL COLLEGE,

MANGALORE

16-07-2018 TO TILL DATEASSOCIATE

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

14-02-2014 TO 04-08-2015

ASSISTANT

PROFESSOR

P. N PANICKER

SOUHRUDA AYURVEDA

MEDICAL COLLEGE

05-08-2015 TO 17-12-2016

ASSISTANT

PROFESSOR

ALVAS AYURVEDA

MEDICAL COLLEGE,

MOODABIDRE

19-12-2016 TO 20-07-2017

ASSISTANT

PROFESSOR

KARNATAKA AYURVEDA

MEDICAL COLLEGE

24-07-2017 TO 28-02-2019

ASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

01-03-2019 TO TILL DATE

ASSOCIATE

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD

25803

142001141000029SHALAKYA

TANTRAREGULAR

3-65/27, SHRI

SIDDHIVINAYAK

A NILAYA,

LOHITH NAGAR,

2ND MAIN ROAD,

DEREBAIL,D.K-

575006

3-65/27, SHRI

SIDDHIVINAYAKA

NILAYA, LOHITH

NAGAR, 2ND MAIN

ROAD,

DEREBAIL,D.K-

575006

17 DR. AKSHATHA K MARI BHAT K 10-09-1986 AYSK00479

MS(AYU)

SHALAKYA TANTRA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2013

MD(AYU)

RACHANA SHAREER

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2012

SHAREERA

RACHANAREGULAR

C-02, MRPL

TOWNSHIP,

BALA P.O,

MANGALORE,

KARNATAKA-

575030

C-02, MRPL

TOWNSHIP, BALA

P.O, MANGALORE,

KARNATAKA-

575030

TRAVANCORE-

COCHIN

MEDICAL

COUNCIL

7773

16 DR. VIDHYAPRABHA RT V RAJAPPAN

PILLAI18-10-1976 AYRS00125

BAMS

MAHATMA GANDHI

UNIVERSITY,

KOTTAYAM

2002

9945833678

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2010

15 DR. ASHA MARADKAJANARDHANA M

R20-05-1983 AYDG00470

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2005

MD(AYU)

DRAVYA GUNA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2010

182701141003542 9902449247

9481301353

KAYA CHIKITSA8722675666

DRAVYAGUNA

R.F.S.L. QUARTERS

NO-1,

HARIPADAVU,

NEAR S.T.P.I

DEREBAIL

YEYYADI(KONCHA

DI), MANGALORE,

D.K -575008

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

’S BOARD

10990

182701742000499

8762059222105301011004524

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD

19902

#1-169 NADSAR

HOUSE,

AJJINADKA

DAMBE ROAD,

PUNACHA

BANTWAL TALUK,

D.K-574243

MD(AYU)

KAYA CHIKITSA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2006

REGULAR

"SHRINIDHI",3-

149, PADU,

SHEEDURGA

ESTATE

ALEVOOR,

574118

"SHRINIDHI",3-

149, PADU,

SHEEDURGA

ESTATE ALEVOOR,

574118

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD

15184

121101012000008

#1-169 NADSAR

HOUSE,

AJJINADKA

DAMBE ROAD,

PUNACHA

BANTWAL

TALUK, D.K-

574243

REGULARDRAVYA GUNA

14 DR. LAKSHMI PRASAD

DR.

KRISHNARAJA

BHAT

15-04-1978 AYKC02202

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2002

13DR. SATHYAMOORTHI

K

K

THIRUMALESHW

ARA BHAT

11-05-1971 AYDG00576

BAMS

KARNATAKA

UNIVERSITY,

DHARWAR

1994

MD(AYU)

DRAVYA GUNA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2009

REGULAR

SHALYA TANTRA

REGULAR

1-107/79, FLAT

NO.416 MATHA

RESIDENCY

MARY HILL,

KONCHADY

POST,

MANGALORE-

575008

R.F.S.L.

QUARTERS NO-1,

HARIPADAVU,

NEAR S.T.P.I

DEREBAIL

YEYYADI(KONCH

ADI),

MANGALORE,

D.K -575008

AYST00120

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2005

MS(AYU)

SHALYA TANTRA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2009

03-07-1978DR.SUBHASH RAI K NRAGHUNATH RAI

N

#1-96, Nuliyalu

House, Nidpalli

post, Puttur Tq,

Dakshina

Kannada-574259

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

’S BOARD

31909

84690100008173 962031063312

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03-03-2014 TO 02-03-2019ASSISTANT

PROFESSORKARNATAKA AYURVEDA

MEDICAL COLLEGEKAYA CHIKITSA

03-03-2019 TO 28-09-2020ASSOCIATE

PROFESSOR

KARNATAKA AYURVEDA

MEDICAL COLLEGEKAYA CHIKITSA

01-10-2020 TO TILL DATEASSOCIATE

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

SWASTAVRITTA

05-03-2014 TO 06-03-2019

ASSISTANT

PROFESSOR

DHARMA AYURVEDA

COLLEGE & HOSPITAL

07-03-2019 TO 26-11-2019ASSOCIATE

PROFESSOR

DHARMA AYURVEDA

COLLEGE & HOSPITAL

16-12-2019 TO TILL DATEASSOCIATE

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

28-03-2014 TO 20-06-2016

ASSISTANT

PROFESSOR

SHRI VEERPULIKESHI

VIDYAVARDHAK

SAMSTHA’S RURAL

AYURVEDA COLLEGE &

RESEARCH CENTRE

24-06-2016 TO 31-01-2017

ASSISTANT

PROFESSOR

DGM, JSW SAMSTHE’S

DANAPPA

GURUSHIDDAPA

MELMALAGI AYURVEDIC

MEDICAL COLLEGE,

HOSPITAL & PG

RESEARCH CENTRE

01-02-2017 TO 12-12-2019

ASSISTANT

PROFESSOR

DGM, JSW SAMSTHA’S

DANAPPA

GURUSHIDDAPA

MELMALAGI AYURVEDIC

MEDICAL COLLEGE,

HOSPITAL & PG

RESEARCH CENTRE

16-12-2019 TO TILL DATEASSOCIATE

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

03-03-2014 TO 31-12-2018

ASSISTANT

PROFESSOR

KARNATAKA AYURVEDA

COLLEGE

01-01-2019 TO 03-02-2019ASSISTANT

PROFESSOR

KARAVALI AYURVEDIC

MEDICAL COLLEGE

HOSPITAL & RESEARCH

CENTRE, MANGALORE

04-02-2019 TO 03-06-2019ASSOCIATE

PROFESSOR

KARAVALI AYURVEDIC

MEDICAL COLLEGE

HOSPITAL & RESEARCH

CENTRE, MANGALORE

30-11-2019 TO TILL DATEASSOCIATE

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

08-12-2014 TO 30-12-2017ASSISTANT

PROFESSOR

BIDAR VIDYA KENDRA (

R) AKKAMAHADEVI

AYURVEDIC MEDICAL

COLLEGE

04-01-2018 TO 12-12-2019ASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

13-12-2019 TO TILL DATEASSOCIATE

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

MD(AYU)

KAYACHIKITSA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2014

SWASTHAVRITTT

A & YOGA

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD

25808

200201011004442 7411889737

REGULAR

MADHUR

GANESH, NEW B

BLOCK, GROUND

FLOOR, OPP.

PROFESSIONAL

COURIERS,

BOCKAPATNA

CROSS ROAD,

MANGALORE-

575003

SUSHI 645-3/8,

JLB ROAD, NEAR

SHASTRI CIRCLE,

KUNDAPUR,

UDUPI-576201

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD

25793

22 DR. SUPRIYA S SUDHAKAR S 02-05-1987 AYKC00765

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2010

MD(AYU)

KAUMARBHRITYA-BALA

ROGA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2014

KAUMARBHRITY

A - BALA ROGAREGULAR

W/O DR.

PRATAP G

AARDHYA

GANESH NAGAR,

5TH

CROSS,

THOKKOTTU,

MANGALORE-

575020

W/O DR. PRATAP

G AARDHYA

GANESH NAGAR,

5TH

CROSS,

THOKKOTTU,

MANGALORE-

575020

21 DR. SINDHU M A ANANDHA M R 01-09-1986 AYKB00449

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2010

142001141000037 9481144929

MD(AYU)

AYURVEDA SAMHITA &

SIDDHANTA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2013

REGULAR

H.NO. 402,

MERIDIYEN

APARTMENT,

ULLAL,

DERALAKATTE,

MANGALORE-

575022

H. NO. 17-5-141,

OPP. GUMPA

MANHALLI ROAD,

BIDAR-585403

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

’S BOARD

25472

18270174200050720 DR. DIVYARANI HANMANTHRAO 02-01-1986 AYSS00483

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2009

KRIYA SHARIR

AYURVEDA

SAMHITA &

SIDDHANTA

9164094504

AGADA TANTRA

AVUM VIDHI

VAIDYAKA

REGULAR

ROOM NO. 106, A-

BLOCK,

SILICONIA

APARTMENT,

KUTHARPADAVU

, DERALAKATTE,

MANGALORE-

575022

RAJADHANI,

KRISHNAPURAM,

KAYAMKULAM,

ALAPPUZHA,

KERALA-690533

TRAVANCORE

COCHIN

MEDICAL

COUNCIL

9180

182701742000512

84690100008174 9048559776REGULAR

SRI RAMNATH

BANGRA

MANJESHWAR,

KASARAGOD,

KERALA-671323

SRI RAMNATH

BANGRA

MANJESHWAR,

KASARAGOD,

KERALA-671323

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD

25964

859302140119 DR. SHEETHAL RAJ S RAJAN 01-03-1983 AYAT00166

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2007

MD(AYU)

AGADA TANTRA AVUM

VIDHI VAIDYAKA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2013

MD(AYU)

KAYACHIKITSA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2013

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2010

18 DR. AJAY BHAT UDR. UMESH

BHAT M18-06-1986 AYKC00228

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19-01-2015 TO 10-04-2020ASSISTANT

PROFESSOR

KARNATAKA AYURVED

MEDICAL COLLEGE,

MANGALORE

11-04-2020 TO TILL DATEASSOCIATE

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

24 DR. ADARSH D RAJ DEVARAJAN K 21-10-1986 AYPK00027

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2009

MD(AYU)

PANCHAKARMA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2014

14-03-2015 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

PANCHAKARMA REGULAR

ZEENATH

MANZIL

,GURUPRASAD

LINE 1ST CROSS,

GORIGUDDAE

KANKANADY

MANGALURU

575002

PUTHENVILA

VEEDU,

PANAYAM,

POOYAPPALLY,

KOLLAM, KERALA-

691537

TRAVANCORE

COCHIN

MEDICAL

COUNCIL

11984

182701141001522 9742329858

07-11-2015 TO 14-05-2018ASSISTANT

PROFESSOR

UTTARANCHAL

AYURVEDIC MEDICAL

COLLEGE, DEHRADUNROGA NIDANA

17-05-2018 TO 26-06-2019ASSISTANT

PROFESSORSDM COLLEGE OF

AYURVEDA, HASSAN KAYACHIKITSA

08-01-2020 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

SWASTAVRITTA

19-01-2017 TO 07-07-2017ASSISTANT

PROFESSOR

ALVAS AYURVEDA

MEDICAL COLLEGEKRIYA SHARIR

24-07-2017 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

KAYACHIKITSA

27 DR. PRIYA RAJAN C RAJAN 17-10-1987 AYRS00016

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2009

MD(AYU)

RACHANA SHAREERA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2015

01-07-2017 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

SHAREERA

RACHANAREGULAR

BLOCK-4, 309

ASHOKA

PRADISE

APARTMENT,

HOIGEBAIL,

ASHOK NAGAR,

MANGALORE-

575006

BLOCK-4, 309

ASHOKA PRADISE

APARTMENT,

HOIGEBAIL,

ASHOK NAGAR,

MANGALORE-

575006

TRAVANCORE-

COCHIN

MEDICAL

COUNCILS

12650

142001011002603 9740093844

28 DR. MRUDULA K SK SADASHIVA

SHANBHOGUE10-01-1991 AYPS00011

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2012

MS(AYU)

PRASUTI AVUM STRI

ROGA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2017

15-12-2017 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

PRASUTI & STRI

ROGAREGULAR

FLAT NO. 101,

BHARGAVI

GLORIA

RESIDENCY,

BAREBAIL

ROAD, NEAR AJ

HOSPITAL,

MANGALORE-

575004

FLAT NO. 101,

BHARGAVI

GLORIA

RESIDENCY,

BAREBAIL ROAD,

NEAR AJ

HOSPITAL,

MANGALORE-

575004

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

’S BOARD

31909

155101141000013 8147988405

8050163323

MD(AYU)

KAYACHIKITSA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2016

REGULAR

SHITHIN NIVAS,

AKKEREKERE, T

C ROAD, ULLAL

POST,

MANGALORE

TALUK, D.K-

575020

SHIVARAKSHA,NE

AR KUDUPU

TEMPLE, KUDUPU

POST,

MANGALORE

TALUK, D.K-

575028

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

’S BOARD

30472

14200114100003026 DR. SHILPA K SADASHIVA 17-09-1989 AYKC01858

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2011

1208, IVORY

TOWERS, SL

MATHIAS ROAD,

ATTAVAR,

MANGALORE-

575001

1208, IVORY

TOWERS, SL

MATHIAS ROAD,

ATTAVAR,

MANGALORE-

575001

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

’S BOARD

13530

142501011003003 7404863848

9886740406

25

DR. RESHMA S L K SHETTIGAR 08-06-1976 AYKC02809

BAMS

MANGALORE

UNIVERSITY

1999

MD(AYU)

KAYACHIKITSA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2005

REGULAR

RASA SHASTRA &

BHAISAJYA

KALPANA

REGULAR

12-255, B.C ROAD,

AGRABAILU

HOUSE,

JODUMARGA

POST, BANTWALA

TALUK, DAKSHINA

KANNADA-574219

12-255, B.C ROAD,

AGRABAILU

HOUSE,

JODUMARGA POST,

BANTWALA TALUK,

DAKSHINA

KANNADA-574219

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD

21854

10120101200027523DR. BALAKRISHNA

KUMAR A

NARAYANA

MOOLYA19-08-1983 AYRB00131

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2006

MD(AYU)

BHAISHAJYA KALPANA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2014

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29DR. RAHUL YASHAVANTHYASHAVANTH D

KODOLIKAR01-09-1987 AYRB00030

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2011

MD(AYU)

RASASHASTRA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2015

01-02-2018 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

RASASHASTRA

EVAM

BHAISHAJYA

KALPANA

REGULAR

SHRI VARAHA

FLAT NO.101,

BHARGAVI

GLORIA,

RESIDENCY,

BAREBAIL ROAD,

BEJAI POST

SHRI VARAHA

FLAT NO.101,

BHARGAVI

GLORIA,

RESIDENCY,

BAREBAIL ROAD,

BEJAI POST

KARNATAKA

AYURVEDIC &

UNANI

PRACTITIONER

S BOARD

28602

155101141000014 9590033074

24-01-2018 TO 18-01-2019ASSISTANT

PROFESSOR

DHANVANTARI AYURVED

COLLEGE, KOYDAM, TA –

VIRPUR, MAHISAGAR

DISTRICT, GUJARAT

28-01-2019 TO 19-12-2019ASSISTANT

PROFESSOR

SRI DHARMASTHALA

MANJUNATHESHWARA

COLLEGE OF AYURVEDA,

UDUPI

23-12-2019 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

31 DR. JNANESH MARATHEP. RANGANATH

MARATHE07-04-1987 AYSN00241

BAMS

RASHTRIYA SANSKRIT

VIDYAPEETHA,

TIRUPATI

2009

MA

ADVAITA

VEDANTA(SANSKRIT)

RASHTRIYA SANSKRIT

VIDYAPEETHA, TIRUPATI

2019

28-08-2018 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

SAMHITA AND

SIDHANTA(

SANSKRIT)

REGULAR

103R, BRU

HOSTEL, BEHIND

ZULEKHA

BHAVAN, OPP.

TO YENEPOYA

UNIVERSITY

CAMPUS

UNIVERSITY

ROAD,

DERALAKATTE-

365/4C, 19TH

CROSS, TELLAR

ROAD KARKALA-

574104,

KARKALA(TALUK)

UDUPI(DIST)

182701141003792 9880557899

32 DR. THANUSREE N NAIR

V.R

NARAYANAN

NAIR

14-01-1991 AYSS00034

BAMS

SRI

CHANDRASHEKHARA

SARASWATHI VISHWA

MAHA VIDHYALAYA

2014

MD(AYU)

SAMHITA AND SIDHANTA

AMRITA UNIVERSITY

2018

09-10-2018 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

SAMHITA AND

SIDHANTAREGULAR

FLAT NO.101,

CARISSA

APARTMENTS

SUVARNA LANE

6TH CROSS,

KANKANADY-

575002

DEEPTHI(H),

MANAKKAD P.O,

THODUPUZHA,

IDUKKI-685608

TRAVANCORE-

COCHIN

MEDICAL

COUNCIL

182701141003793 7025086304

33 DR. ATHULYA P.K VALSALAN P.T 02-11-1991 AYRN00025

BAMS

AMRITA VISHWA

VIDYAPEETHAM

UNIVERSITY

2015

MD(AYU)

ROGA NIDANA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2018

31-12-2018 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

ROGA NIDANA REGULAR

FLAT NO-204,

CARISSA

APARTMENT,

6TH CROSS,

SUVARNA LANE,

KANKANADY,

MANGALORE

SREEVALSAM,

NEAR SN

COLLEGE, P.O

THOTTADA,

KANNUR-670007

TRAVANCORE-

COCHIN

MEDICAL

COUNCIL

15532

142501011001959 9567556075

34DR. DEVAN

REGHUNATHAN

M

RAGHUNATHAN04-08-1988 AYST01304

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2011

MS(AYU)

SHALYA TANTRA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2015

04-11-2019 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

SHALYA TANTRA REGULAR

ZEENATH

MANZIL

APARTMENTS,

1ST FLOOR,

DOOR NO 9-

108/10(5)

GORIGUDDA,

GURUPRASAD

LANE,

MANIPRABHA

HOUSE, KAPPIL

EAST,

KRISHNAPURAM

P.O,

KAYAMKULAM,

ALAPPUZHA DIST.

KERALA-690533

TRAVANCORE

COCHIN

MEDICAL

COUNCIL

12789

182701742000415 9645374650

35 DR. HAFSA P AHAMED P AHAMED 31-03-1989 AYPS00881

BAMS

CALICUT UNIVERSITY

2013

MS(AYU)

PRASUTI AVUM STRI

ROGA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2019

14-11-2019 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

PRASUTI TANTRA

& STRI ROGAREGULAR

FLAT NO. 101,

BALAKRISHNA

TOWERS,

COCONUT

GARDEN,

MAROLI

VILLAGE,

NANTHOOR,

MANGALORE-

575005

KARAT HOUSE,

KRA 328,

KRISHNAPURAM,

KALATHOD,

OLLUKARA P O,

THRISSUR,

KERALA-680655

TRAVANCORE

COCHIN

MEDICAL

COUNCIL

15359

182701742000426 9447521382

ROOM NO. 207,

ZULEKHA

BHAVAN,

DERALAKATTE,

OPP. YENEPOYA

UNIVERSITY,

MANGALORE-

575018

RAJASREE, TC-

03/1702, AKRA

NO-135,

ARASUMOODU,

KULATHOOR P O,

THIRUVANANTHA

PURAM, KERALA-

695583

TRAVANCORE

COCHIN

MEDICAL

COUNCIL

14545

182701742000549 9496326388KAUMARABHRIT

YA30 DR. SREERAJ R Dr. N. RAJENDRAN 30-09-1988 AYKB00075

BAMS

UNIVERSITY OF KERALA

2012

MD(AYU)

KAUMRBHRITYA-

BALAROGA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2017

REGULAR

Page 8: PEROFORMA TO FURNISH THE DETAILS ... - Yenepoya Ayurveda

36 DR. RUKMA C KC K

RAMAKRISHNAN25-10-1983 AYAT00398

BAMS

CALICUT UNIVERSITY

2009

MD(AYU)

AGADA TANTRA AVUM

VIDHI VAIDYAKA

KERALA UNIVERSITY OF

HEALTH SCIENCES,

THRISSUR

2018

11-12-2019 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

AGADA TANTRA

AVUM VIDHI

VAIDYAKA

REGULAR

ROOM NO.212,

GARDENIA,

DERALAKATTE,

MANGALORE-

575018

KURIKALOT

HOUSE,

PULIMPARAMBA,

POST

TALIPARAMBA,

KANNUR, KERALA-

670141

TRAVANCORE

COCHIN

MEDICAL

COUNCIL

10825

182701742000489 9895974261

37 DR. DIVYA M DIVAKARAN P 26-07-1990 AYSK00646

BAMS

KANNUR UNIVERSITY.

KERALA

2013

MS(AYU)

SHALAKYA TANTRA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2019

11-12-2019 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

SHALAKYA TANTRA REGULAR

ZEENATH

MANZIL,

GURUPRASAD

LANE,

KANKANADY

POST,

GORIGUDDA,

MANGALORE-

575002

MOOLAKK

VEEDU, P O

PULLUR,

HOSDURG,

KANHANGAD,

KERALA-671531

TRAVANCORE

COCHIN

MEDICAL

COUNCIL

15129

182701742000486 9400743549

38 DR. SAHL M UBAIDULLA M 02-04-1989 AYST01425

BAMS

CALICUT UNIVERSITY

2014

MS(AYU)

SHALYA SAMANYA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2019

20-12-2019 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

SHALYA TANTRA REGULAR

FLAT NO. 101,

BALAKRISHNA

TOWERS,

COCONUT

GARDEN,

MAROLI

VILLAGE,

NANTHOOR,

MANGALORE-

575005

MEEMPATTA

HOUSE,

URANGATTIRI PO,

KALLARATTIKKAL,

AREEKODE,

MALAPPURAM,

KERALA-673639

TRAVANCORE

COCHIN

MEDICAL

COUNCIL

15812

182701742000428 9495519677

39 DR. PRIYA S R NAIRN RAMAKRISHNAN NAIR15-09-1991 AYKS00621

BAMS

AMRITA VISHWA

VIDYA PEETHAM

UNIVERSITY

2016

MD(AYU)

KRIYA SHARIR

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2019

28-12-2019 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

KRIYA SHARIR REGULAR

FLAT NO. F 4,

SILVER SAND

APARTMENT,

NITHYANAND

NAGAR,

DERALAKATTE,

MANGALORE-

575018

PRIYA NIVAS,

OOKKODE P.O

NEMOM VIA,

THIRUVANANTHA

PURAM, KERALA-

695020

TRAVANCORE

COCHIN

MEDICAL

COUNCIL

16816

142501011002343 8281983814

40 DR. SREERAJ P RAGHAVAN K A 19-01-1992 AYSV00622

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2014

MD(AYU)

SWASTHAVRITTA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2019

17-01-2020 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

SWASTHAVRITTA REGULAR

SREEVASAM

HOUSE,

VALIYAPARAMB

A, KODAKKAD,

KASARGOD,

KERALA-671310

SREEVASAM

HOUSE,

VALIYAPARAMBA,

KODAKKAD,

KASARGOD,

KERALA-671310

TRAVANCORE

COCHIN

MEDICAL

COUNCIL

16448

182701742000591 8136864263

41 DR. NAVANEETH K PK V

PRABHAKARAN23-06-1990 AYRS00943

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2014

MD(AYU)

SHAREER RACHANA

MAHARASTRA

UNIVERSITY OF HEALTH

SCIENCES, NASHIK

2020

21-01-2020 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

RACHANA SHAREERA REGULAR

ROOM NO.202,

ZULEKHA

BHAVAN,

YENEPOYA

UNIVERISTY,

DERALAKATTE,

MANGALORE-

575018

NAVANEETHAM,

KARAKKAD P.O,

CHENGANNUR,

ALAPPUZHA,

KERALA-689504

TRAVANCORE

COCHIN

MEDICAL

COUNCIL

16610

152901742000037 9656908456

26-12-2019 TO 17-09-2020ASSISTANT

PROFESSOR

ALVAS AYURVEDA

MEDICAL COLLEGE,

MOODABIDRE

19-10-2020 TO TILL DATEASSISTANT

PROFESSOR

YENEPOYA AYURVEDA

MEDICAL COLLEGE AND

HOSPITAL, MANGALORE

42 DR. ARUNDEEP M APPAN O K 25-12-1992 AYDG01243

BAMS

RAJIV GANDHI

UNIVERSITY OF

HEALTH SCIENCES,

BANGALORE

2015

MD(AYU)

DRAVYA GUNA VIGYANA

RAJIV GANDHI

UNIVERSITY OF HEALTH

SCIENCES, BANGALORE

2019

DRAVYAGUNA REGULAR

D.NO- 3-468(3),

RANIPURA,

MUNNUR

VILLAGE & POST,

MANGALORE

TALUK, D.K

DEEP NIVAS,

PADUVALAM,

PILICODE,

KASARAGOD,

KERALA-671310

TRAVANCORE

COCHIN

MEDICAL

COUNCIL

35278

84690100008198 8547356747

Page 9: PEROFORMA TO FURNISH THE DETAILS ... - Yenepoya Ayurveda

43 MR.KUSHALAPPA GOWDA N BIRMANNA 01-06-1979

BA

MANGALORE

UNIVERSITY

2004

MSC.(YOGIC SCIENCE)

MANGALORE UNIVERSITY

2006

01-04-2019 TO TILL DATEASSISTANT

PROFESSOR/LECTU

RER

YENEPOYA AYURVEDA

MEDICAL COLLEGE

AND HOSPITAL,

MANGALORE

SWASTHAVRIT

TA & YOGAPART-TIME

AVISHKAR

NILAYA, B2

VISHWAS

SAGAR

APARTMENTS,

VYASA

NAGARA, NEAR

KPT, KADRI,

MANGALORE-

575003

AVISHKAR

NILAYA, B2

VISHWAS

SAGAR

APARTMENTS,

VYASA NAGARA,

NEAR KPT,

KADRI,

MANGALORE-

575004

_ 182701141003467 9845588740