Data DR Spesialis Botim

DATA SIP DOKTER SPESIALIS 2017
KECAMATAN BOGOR TIMUR
No Nama Kecamatan Kelurahan Alamat Praktik No Surat No STR Tanggal STR

3. RS BMC, Jl. Pajajaran Indah V/97 Kel.
1 dr. ABU SURUR, SpU Bogor Timur Baranangsiang Baranangsiang Kec. Bogor Timur 143/503/Dinkes/SIP.dr.Sp/IV/2017 31.1.1.106.3.15.077614 1/16/2020
Praktik dr. Adi Teruna Effendi, Sp.PD, PhD, Jl. Villa
2 Dr. ADI TERUNA EFFENDI, Sp.PD, PhD Bogor Timur Baranangsiang Duta III/9 Rt.05/XI 311/503/Dinkes/SIP.Dr.Sp/IX/2013 31.11.40.2.11.024031 8/7/2016
3 dr. AGIL SALIM, Sp.B Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Kota Bogor 319/503/Dinkes/SIP.dr.Sp/IX/2016 31.1.1.101.3.16.031632 10/30/2021
4 dr. AJENG NORMALA, SpOG Bogor Timur Tajur 2. RS Juliana, Jl. Raya Tajur No.75 Kota Bogor 342/503/Dinkes/SIP.drg.Sp/XII/2017 32.2.1.301.3.17023016 11/6/2022
5 Dr. ALI SJAHRI, Sp.A Bogor Timur Baranangsiang 2.RS BMC, Jl.Pajajaran Indah V No.97 Kota Bogor 308/503/Dinkes/SIP.dr.Sp/IX/2016 34.1.1.201.3.16.026152 7/30/2022
6 dr. ANDREAW PRANOLO, SpS Bogor Timur Sukasari 1. RS VANIA, Jl. Siliwangi No. 11, Bogor 64/503/Dinkes/SIP.dr.Sp/III/2017 71.1.1.605.3.16.003059 9/5/2021
7 dr. ANDRIAS, SpAn Bogor Timur Sukasari 2. RS Vania, Jl. Siliwangi No. 11 77/503/Dinkes/SIP.dr.Sp/III/2017 12.1.1.501.3.17.093734 12/18/2022
8 dr. ANDY JANITRA NASUTION, Sp.Rad Bogor Timur Sukasari 2. RS Vania, Jl. Siliwangi No. 11 412/503/Dinkes/SIP.dr.Sp/XII/2016 31.1.1.503.3.16.107060 5/13/2022
9 dr. ANTON ANDRIAN T, SpB Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 243/503/Dinkes/SIP.dr.Sp/VII/2017 71.1.1.101.3.16.014919 5/19/2021
10 Dr. ARA GUNTARA, Sp. An Bogor Timur Tajur 2. RSIA JULIANA, Jl. Raya tajur No.75 Bogor 104/503/Dinkes/SIP.dr.Sp/V/2016 32.1.1.501.3.14-041079 10/21/2019
11 dr. ARDAJA, SpPD, K-GH, FINASIM Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 329/503/Dinkes/SIP.dr.Sp/X/2016 31.1.1.401.3.16.044040 3/26/2022
12 dr. ARDAYA., SpPD. K-GH, FINASIM Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Kota Bogor 329/503/Dinkes/SIP.dr.Sp/X/2016 31.1.1.401.3.16.044040 3/26/2022
Dr. ARDHANA RISWORO ANOM YUSWONO,
13 Sp.An Bogor Timur Tajur RSIA Juliana, Jl. Raya Tajur No. 75 2285/503/Dinkes/SIP.Dr.Sp/VIII/2013 32.1.1.501.2.13.030528 5/18/2018
14 Dr. ARI SAPTADI, SpAn Bogor Timur Tajur 2. RSIA JULIANA, Jl. Raya tajur No.75 Bogor 187/503/Dinkes/SIP.dr.Sp/XII/2015 32.1.1.501.3.15.020393 1/9/2020
15 dr. ARINA INDRIANY Sp.OG Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 95/503/Dinkes/SIP.dr.Sp/III/2017 12.2.1.301.3.16.017816 6/5/2022
16 dr. ARIO LEGIANTUKO, SpOG Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 09/503/Dinkes/SIP.dr.Sp/I/2017 31.1.1.301.1.21.4.099131 10/21/2019
17 Dr. ARIS SOEBARDI, Sp.A Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 169/503/Dinkes/SIP.dr.Sp/VI/2016 34.1.1.201.3.16.014863 4/6/2022
18 Dr. BAMBANG MULIAWAN, Sp.OG Bogor Timur Baranangsiang RS. BMC, Jl. Pajajaran Indah V/97 543/503/Dinkes/SIP.Dr.Sp/XI/2012 31.1.1.301.2.11.044895 10/20/2016
19 Dr. BAMBANG NUGROHO K.SpR Bogor Timur Baranangsiang RS. BMC, Jl. Pajajaran Indah V/97 471/503/Dinkes/SIP.Dr.SP/IX/2012 32.1.1.503.2.11.049972 11/8/2016
dr. BAMBANG NUGROHO KUSUMADI,
20 Sp.Rad Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 92/503/Dinkes/SIP.dr.Sp/III/2017 32.1.1.503.3.16.049972 10/23/2022
21 dr. BONNY BRIAN S, SpAn Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 94/503/Dinkes/SIP.dr.Sp/V/2016 16.1.1.501.2.14.019769 1/29/2019
dr. CHORNIANSYAH INDRIYANTO R,
22 Sp.JP.,FIHA Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 280/503/Dinkes/SIP.dr.Sp/IX/2017 31.1.1.402.3.16.099002 9/14/2021
23 dr. CRISTINA TARIGAN, SpPD, FINASIM Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 317/503/Dinkes/SIP.dr.Sp/X/2016 35.2.1.401.3.15.089968 5/25/2020
24 Dr. DADANG CHANDRA, Sp.THT Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 185/503/Dinkes/SIP.dr.Sp/VII/2016 32.1.1.606.3.16.010831 8/13/2021
25 dr. DANIEL TJEN, Sp.S Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 354/503/Dinkes/SIP.dr.Sp/XI/2016 31.1.1.605.3.16.061439 6/24/2022
26 Dr. DEASY NURISYA, Sp.A. M.Kes. Bogor Timur Tajur RSIA Juliana, Jl. Raya Tajur No. 75 270/503/Dinkes/SIP.Dr.Sp/VIII/2013 32.2.1.2.01.2.13.017690 2/16/2018
27 dr. DENNY WIBISONO H, SpKFR Bogor Timur Sukasari 1. RS VANIA, Jl. Siliwangi No. 11, Bogor 127/503/Dinkes/SIP.dr.Sp/IV/2017 31.1.1.608.3.16.021042 5/10/2022
28 dr. DENY HANDAYANTO, Sp.B Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 308/503/Dinkes/SIP.dr.Sp/X/2017 32.1.1.101.3.15.080133 9/2/2020
29 dr. DEVI ASTRI AMELIA, SpPD Bogor Timur Tajur 1. RS Juliana, Jl. Tajur no. 75 150/503/Dinkes/SIP.dr.Sp/V/2017 32.2.1.401.2.16.090892 12/2/2021
30 Dr. DICKY ZULKARNAEN, Sp.An Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 200/503/Dinkes/SIP.Dr.Sp/VII/2016 35.1.1.501.3.16.14974 2/28/2022
31 dr. DIKI MULYANA, Sp.A, M.Kes Bogor Timur Tajur 1. RSIA JULIANA, Jl. Raya Tajur No. 75 190/503/Dinkes/SIP.dr.Sp/XII/2015 32.1.1.201.2.15.113539 9/28/2020
32 dr. DJOKO JUDOJOKO, Sp.B Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 314/503/Dinkes/SIP.dr.Sp/XI/2017 31.1.1.101.3.17.089501 6/14/2023
33 Dr. dr. HENDRO DARMAWAN, MSc, Sp.JP Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 266/503/Dinkes/SIP.dr.Sp/VIII/2016 31.1.1.402.3.16.030660 2/17/2022
34 dr. DRAHMA KUSMARWATY, SpKFR Bogor Timur Sukasari 1. RS VANIA, Jl. Siliwangi No. 11, Bogor 302/503/Dinkes/SIP.dr.Sp/X/2017 71.2.1.608.3.15.101735 9/25/2020
35 dr. EDISON MARPAUNG, Sp.S Bogor Timur Baranangsiang 3. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 250/503/Dinkes/SIP.dr.Sp/VIII/2017 33.1.1. 605.3.17.082928 10/8/2022
36 dr. EKO SUPRAYOGI, Sp.An Bogor Timur Baranangsiang Baranangsiang Kec. Bogor Timur 365/503/Dinkes/SIP.dr.Sp/XI/2016 31.1.1501.3.16.049968 1/17/2022
37 dr. ERMIA RAHARDJO, MS, SpGK Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 4/503/Dinkes/SIP.dr.Sp/XII/2016 98.2.1.701.3.16.021470 2/13/2022
38 Dr. ERWIN, Sp.PD FINASIM Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 178/503/Dinkes/Sip.Dr.Sp/XII/2015 31.1.1.401.3.16.000274 1/4/2021
39 Dr. EZZEDIN YAZID, Sp.A Bogor Timur Tajur 2. Apotek Deli Tajur, Jl. Raya Tajur Bogor 243/503/Dinkes/SIP.dr.Sp/VIII/2016 12.1.1.201.3.16.026144 5/26/2022
40 dr. FARCHAN DJOENED, Sp.OG Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 58/503/Dinkes/SIP.dr.Sp/II/2017 32.1.1.301.3.16.031639 12/11/2021
41 Dr. FARIDA WIRAHADIKUSUMAH, Sp.KK Bogor Timur Baranangsiang 3. Eiffel Clinic, Jl. Pajajaran no. 29 218/503/Dinkes/SIP.dr.Sp/VIII/2016 32.2.1.602.3.16-031638 1/13/2022
42 dr. FAROLAND DEDY K.D, M.Kes, SpPK Bogor Timur Tajur 2. RS Juliana, Jl. Raya Tajur No.75 Kota Bogor 386/503/Dinkes/SIP.dr.Sp/XI/2016 31.1.1.502.2.13.013021 4/25/2018
43 dr. FATIH ASSYUR BANILLAH, SpTHT-KL Bogor Timur Sukasari 2. RS Vania, Jl. Siliwangi No. 11 257/503/Dinkes/SIP.dr.Sp/VIII/2017 16.1.1.606.2.13.079755 10/4/2018
44 dr. FEBRY IMAM SUDJUDI, Sp.U Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Kota Bogor 71/503/Dinkes/SIP.dr.Sp/III/2017 31.1.1.100.3.17.073197 2/16/2023
45 Dr. FEBRY IMAM SUDJUDI, SpU Bogor Timur Baranangsiang RS. BMC, Jl. Pajajaran Indah V/97 361/503/Dinkes/SIP.Dr.Sp/VI/2012 31.1.1.106.2.12.073197 3/1/2017
46 Dr. FELLIYANI, Sp.A Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 192/503/Dinkes/SIP.dr.Sp/VII/2016 31.2.1.201.3.16.014859 5/24/2022
47 dr. FERRI WALUYO WIWOHO P, SpOG Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 177/503/Dinkes/SIP.dr.Sp/V/2017 33.1.1.301.3.16.096878 8/18/2021
48 Dr. FERRY DONI TRILASTO, Sp.OT Bogor Timur Baranangsiang Baranangsiang Kec. Bogor Timur 286/503/Dinkes/SIP.dr.Sp/IX/2016 99.1.1.103.3.16.015483 2/13/2022
49 dr. FERRY HADINATA, SpA Bogor Timur Sukasari 1. RS VANIA, Jl. Siliwangi No. 11, Bogor 409/503/Dinkes/SIP.dr.Sp/XII/2016 12.1.1.201.2.16.097325 2/15/2022
2. Kimia Farma 113, Jl.Raya Wangun 240 D Kota
50 dr. GINA TRIANA SUTEDJA, SpKK Bogor Timur Tajur Bogor 68/503/Dinkes/SIP.dr.Sp/III/2017 32.2.1.602.2.15.108004 9/25/2020
dr. GUNAWAN MUHAMAD RACHMAT,
51 Sp.OG Bogor Timur Baranangsiang 2. RB Juliana, Jl. Durian Raya No. 70 128/503/Dinkes/SIP.dr.Sp/IV/2017 13.1.1.301.3.16.0606364 2/14/2022
dr. GUNAWAN MUHAMAD RACHMAT,
52 Sp.OG Bogor Timur Tajur 1. RS Juliana, Jl. Tajur no. 75 60/503/Dinkes/SIP.dr.Sp/III/2017 13.1.1.301.3.16.0606364 2/14/2022
dr. H. MUHAMMAD DJUNAIDI ILYAS, SpPD,
53 FINASIM Bogor Timur Baranangsiang RS. BMC, Jl. Pajajaran Indah V/97 419/503/Dinkes/SIP.dr.Sp/XII/2016 73.1.1.401.3.16.065263 4/12/2022
54 Dr. H. RINI SOVIA, SpOG Bogor Timur Tajur 1. RS Juliana, Jl. Tajur no. 75 206/503/Dinkes/SIP.dr.Sp/VII/2016 33.2.1.301.3.16.021090 11/24/2021
55 Dr. HADINING SETIAWATI IKSAN, Sp.A Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 237/503/Dinkes/SIP.dr.Sp/VIII/2016 32.2.1.201.3.16.031641 11/21/2021
56 Dr. HASRIL HADIS, SpJP Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 31/503/Dinkes/SIP.Dr.Sp/II/2016 31.1.1.402.2.14.105663 10/20/2019
57 Dr. HASRIL HADIS, SpJP Bogor Timur Sukasari 1. RS VANIA, Jl. Siliwangi No. 11, Bogor 46/503/Dinkes/SIP.Dr.Sp/IV/2015 31.1.1.402.2.14.105663 10/20/2019
58 dr. HASSAN HUSSEIN GASEM, Sp.AN Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 38/503/Dinkes/SIP.dr.Sp/I/2017 33.1.1.501.3.16.044900 5/5/2022
59 dr. HERI ISMENA, SpOG Bogor Timur Baranangsiang 3. RB Juliana, Jl.Durian Raya No.70 Kota Bogor 171/503/Dinkes/SIP.dr.Sp/XII/2015 13.1.1.301.3.15.076974 7/20/2020
60 dr. HERI ISMENA, SpOG Bogor Timur Tajur 2. RSIA JULIANA, Jl. Raya tajur No.75 Bogor 132/503/Dinkes/SIP.Dr.Sp/IX/2015 13.1.1.301.3.15.076974 7/20/2020
61 dr. HERJUNI KUSMAN, Sp.KK Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 398/503/Dinkes/SIP.dr.Sp/XII/2016 31.2.1.602.3.16.044041 8/21/2022
62 dr. HIDAJAT NERVIADI IKSAN, Sp.M Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 342/503/Dinkes/SIP.dr.Sp/XI/2016 32.1.1.603.3.16.033276 7/23/2022
63 Dr. I NYOMAN ARIS SANJAYA, Sp.OG Bogor Timur Tajur RSIA Juliana, Jl. Raya Tajur No. 75 75/503/Dinkes/SIP.Dr.Sp/IV/2014 33.1.1.301.2.13.006848 5/18/2018
RB JULIANA, Jl. Durian Raya No.70 BantarKemang

64 Dr. I NYOMAN ARIS SANJAYA, Sp.OG Bogor Timur Baranangsiang Kel.Baranang Siang Kec. Bogor Timur 175/503/Dinkes/SIP.Dr/VII/2014 33.1.1.301.2.13.006848 5/18/2018
65 dr. IRIAWAN REMBAK TINAMBUNAN, SpKJ Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 09./503/Dinkes/SIP.dr.Sp/I/2016 31.1.1.601.3.15.014155 10/13/2020
66 dr. ISFAHANI, Sp.An Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 352/503/Dinkes/SIP.dr.Sp/XI/2016 31.1.1.501.3.16.058607 10/21/2022
3. Apotek Kiimia Farma Wangun, Jl.Raya Wangun
67 dr. ITY SULAWATI, Sp.A, M,KES Bogor Timur Tajur No.431 Kota Bogor 78/503/Dinkes/SIP.dr.Sp/III/2017 34.2.1.201.2.13.092299 2/19/2018
68 dr. ITY SULAWATI, Sp.A, M,KES Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 462/503/Dinkes/SIP.Dr/XI/2014 34.2.1.201.2.13.092299 2/19/2018
69 Dr. JONAS NARA BARINGBING, Sp.OG Bogor Timur Tajur 3. RSIA Juliana, Jl. Raya Tajur No. 75A, Bogor 105/503/Dinkes/SIP.dr.Sp/V/2016 32.1.1.301.3.16-028902 12/27/2021
70 dr. JUMADI, SpOG, M.Kes Bogor Timur Baranangsiang Baranangsiang Kec. Bogor Timur 07/503/Dinkes/SIP.dr.Sp/I/2017 32.1.1.301.2.16.113114 6/25/2021
71 Dr. KOKO HARNOKO, Sp.P Bogor Timur Baranangsiang Baranangsiang Kec. Bogor Timur 82/503/Dinkes/SIP.dr.Sp/IV/2016 31.1.1.604.3.16.004001 12/7/2021
2. Klinik Prodia Health Care, Jl.Raya Pajajaran
72 dr. LAKSMI DEWAYANI, M,Gizi, SpGK Bogor Timur Baranangsiang No.70 F Kota Bogor 318/503/Dinkes/SIP.dr.Sp/XII/2017 31.2.1.701.2.13.078644 6/2/2018
73 dr. LELIAWATI, M.Kes, Sp.PK., MH Kes Bogor Timur Baranangsiang 2. Lab Prodia, Jl. Pajajaran No.70 Kota Bogor 319/503/Dinkes/SIP.dr.Sp/XI/2017 35.2.1.502.3.16.052797 1/17/2022
74 dr. LEO RENDY, SpB Bogor Timur Sukasari 1. RS VANIA, Jl. Siliwangi No. 11, Bogor 294/503/Dinkes/SIP.dr.Sp/IX/2016 71.1.1.101.3.16.075254 4/18/2022
75 dr. LINDRAWATI TJUATJA, SpKFR Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 18/503/Dinkes/SIP.Dr.Sp/II/2015 31.2.1.608.3.14.010770 10/30/2019
dr. LUKMAN HAKIM MUCHSIN Sp.OG, K-
76 FER, MARS Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 104/503/Dinkes/SIP.dr.Sp/III/2017 31.1.1.301.3.17.061654 10/17/2022
3. RS. Vania, Jl. Siliwangi No. 11, Sukasari, Bogor
77 Dr. LUKMAN NURFAUZI, Sp.B Bogor Timur Sukasari Timur 63/503/Dinkes/SIP.Dr.Sp/V/2015 32.1.1.101.3.15.058587 3/12/2020
78 dr. LYDIA AGUSTINA, Sp.S, MSi. Med Bogor Timur Baranangsiang 3. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 193/503/Dinkes/SIP.dr.Sp/VI/2017 33.2.1.605.3.17.074471 8/19/2022
Dr. MAGDALENA DENOK LOPIAN
79 BARINGBING, SpB Bogor Timur Tajur 3. RSIA Juliana, Jl. Raya Tajur No. 75A, Bogor 30/503/Dinkes/SIP.Dr.Sp/ II/2015 32.2.1.101.3.14.010769 12/12/2019
80 dr. MAKMUR MOHAMMAD, Sp.An Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 144/503/Dinkes/SIP.dr.Sp/V/2017 31.1.1.501.3.16.066487 5/5/2022
81 dr. MARNA INDRIASARI, SpKFR Bogor Timur Tajur 3. RS Juliana, Jl. Raya Tajur No.75 bogor 11/503/Dinkes/SIP.dr.Sp/I/2018 31.2.1.608.3.16.066196 3/20/2022
82 dr. MELLY MAYA SARI, SpDV Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 288/503/Dinkes/SIP.dr.Sp/IX/2017 13.2.1.602.4.17.032850 12/3/2022
dr. MRB.MOELJANTO MOELJOSAPUTRO,
83 SpOG, MM Bogor Timur Sukasari 2. RS. Vania, Jl. Siliwangi No. 11 118/503/Dinkes/SIP.Dr.Sp/IX/2015 35.1.1.301.2.11.052897 11/15/2016
84 Dr. MUHAMMAD IKHSAN, Sp.OG Bogor Timur Tajur 3. RS Juliana, Jl. Raya Tajur No.75 bogor 221/503/Dinkes/SIP.dr.Sp/VIII/2016 16.1.1.301.3.16.011400 4/13/2022
85 dr. NASER MUHAMMAD ASKAR, SpAn Bogor Timur Baranangsiang 3. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 300/503/Dinkes/SIP.dr.Sp/X/2017 33.1.1.501.3.16.107277 8/26/2022
86 dr. NELI SUMANTI, SpPK. MKes Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 407/503/Dinkes/SIP.dr.Sp/XII/2016 32.2.1.502.3.16.079975 12/20/2021
87 dr. NENI SAWITRI, Sp.P Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 130/503/Dinkes/SIP.dr.Sp/IV/2017 31.2.1.604.3.16.028907 8/13/2022
88 dr. NUR ISNAENI RISNA, SpM Bogor Timur Sukasari 1. RS VANIA, Jl. Siliwangi No. 11, Bogor 254/503/Dinkes/SIP.dr.Sp/VIII/2016 34.2.1.603.3.15.055741 6/5/2020
89 Dr. NUR RUSYDA, SpPD Bogor Timur Tajur 2. RSIA JULIANA, Jl. Raya tajur No.75 Bogor 87/503/Dinkes/SIP.Dr.Sp/VI/2015 35.2.1.401.2.14.097457 12/17/2019
90 Dr. NURJAYA YUDYA AGNI, Sp.OT Bogor Timur Baranangsiang Baranangsiang Kec. Bogor Timur 214/503/Dinkes/SIP.dr.Sp/VII/2016 31.1.1.103.3.16.015051 7/10/2021
91 dr. PUTI SRI HARJATI, Sp.PK Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Kota Bogor 176/503/Dinkes/SIP.dr.Sp/VI/2016 31.2.1.502.3.16.031.643 4/5/2022
92 Dr. RACHMA DIANA PUTRI, Sp.KK Bogor Timur Baranangsiang RS. BMC, Jl. Pajajaran Indah V/97 242/503/Dinkes/SIP.Dr.Sp./VII/2013 73.2.1.602.2.1.1.062676 2/25/2016
93 dr. RACHMAH DIANA PUTRI, SpKK.,M.KES Bogor Timur Baranangsiang Baranangsiang Kec. Bogor Timur 51/503/Dinkes/SIP.Dr.Sp/III/2016 73.2.1.602.3.16.062676 11/23/2021
94 dr. RACHMAT TJANDRASJAHAN, Sp.AK Bogor Timur Baranangsiang 1. Klinik Eiffel, Jl. Raya Pajajaran No.29 Kota Bogor 344/503/Dinkes/SIP.drg.Sp/XII/2017 98.1.1.807.3.16.042275 9/19/2022
95 dr. RACHMAT TJANDRASJAHAN, SpAK Bogor Timur Baranangsiang 1. Klinik Eiffel, Jl. Raya Pajajaran No.29 Kota Bogor 336/503/Dinkes/SIP.dr.Sp/XI/2017 98.1.1.807.3.16.042275 9/19/2022
96 dr. RACHMAT TJANDRASJAHAN, SpAK Bogor Timur Baranangsiang Klinik Eiffel, Jl.Pajajaran No.29 125/503/Dinkes/SIP.dr.Sp/IX/2015 31.1.1.807.2.11.042275 10/16/2016
2. Rayendra Dermatology Clinic, Jl. Padi No.6
97 Dr. RAENDI RAYENDRA, Sp.KK Bogor Timur Baranangsiang Bogor 134/503/Dinkes/SIP.Dr.Sp/IX/2015 32.1.1.602.3.15.045094 6/12/2020
1. RS Bogor Medical Centre, Jl. Pajajaran Indah V
98 Dr. RAENDI RAYENDRA, Sp.KK Bogor Timur Baranangsiang No. 97 133/503/Dinkes/SIP.Dr.Sp/IX/2015 32.1.1.602.3.15.045094 6/12/2020
99 Dr. RAHMADI IWAN GUNTORO, Sp.P Bogor Timur Baranangsiang 3. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 306/503/Dinkes/SIP.dr.Sp/IX/2016 31.1.1.604.3.16.014786 8/1/2021
100 Dr. RAHMAWATI TOENGGAL, Sp.OG Bogor Timur Tajur 2.RSIA JULIANA, Jl. Tajur No. 75 440/503/Dinkes/SIP.Dr/X/2014 33.2.1.301.2.13.072648 8/12/2018
101 dr. RIFNALDI, SpJP Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 26/503/Dinkes/SIP.Dr.Sp/II/2016 31.1.1.402.2.12.071722 3/29/2017
102 dr. RIFNALDI, SpJP (K). FIHA Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 142/503/Dinkes/SIP.dr.Sp/V/2017 31.1.1.402.3.16.071722 9/17/2022
103 dr. RIZKY RAMADHANA, SpAn Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 68/503/Dinkes/SIP.dr.Sp/III/2016 16.1.1.501.2.14.098618 12/4/2019
104 dr. ROLLANDO ERRIC MANIBUY, Sp.OT Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 158/503/Dinkes/SIP.dr.Sp/V/2017 32.1.1.103.3.16.101496 9/12/2022
105 dr. ROSADI PUTRA, SpU. Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 367/503/Dinkes/SIP.dr.Sp/XI/2016 32.1.1.106.2.16.104133 10/25/2021
106 Dr. RUDY SATRYA, Sp.A, M.Kes. Bogor Timur Tajur 1. RSIA JULIANA, Jl. Raya Tajur No. 75 157/503/Dinkes/SIP.Dr.Sp/XI/2015 32.1.1.201.2.15.107079 1/4/2020
107 Dr. SATRIO SUKMOKO, Sp.PD. FINASIM Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 316/503/Dinkes/SIP.dr.Sp/IX/2016 31.1.1.401.3.16.011395 6/16/2021
108 dr. SJAIFUL BACHRI, Sp.B, KBD Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 316/503/Dinkes/SIP.dr.Sp/X/2016 32.1.1.101.3.13.079315 4/8/2018
109 dr. SOLYA WIJAYA, Sp.B Bogor Timur Tajur 2. RS Juliana, Jl. Raya Tajur No.75 Kota Bogor 330/503/Dinkes/SIP.dr.Sp/XI/2017 31.1..1.101.3.17.081517 7/12/2022
110 DR. SOVIANTO HENDRI LESMANA, SpPD Bogor Timur Sukasari 2. RS Vania, Jl. Siliwangi No. 11 356/503/Dinkes/SIP.Dr/X/2014 12.1.14.012.1.2.089439 11/13/2017
111 Dr. SUMINTA, Sp.A Bogor Timur Baranangsiang RS. BMC, Jl. Pajajaran Indah V/97 522/503/Dinkes/SIP.Dr.Sp/XII/2011 34.1.1.201.2.11.015890 7/14/2016
dr. SUVIANTO HENDRI LESMANA, SpPD,
112 FINASIM Bogor Timur Sukasari 2. RS Vania, Jl. Siliwangi No. 11 356/503/Dinkes/SIP.Dr/X/2014 12.1.14.012.1.2.089439 11/13/2017
1. RS Bogor Medical Centre, Jl. Pajajaran Indah V
113 Dr. TAOLIN AGUSTINUS, Sp.PD Bogor Timur Baranangsiang No. 97 449/503/Dinkes/SIP.Dr.Sp/IX/2012 33.1.1.401.2.11.051686 11/13/2016
dr. TAOLIN AGUSTINUS, SpPD, K-GEH,
114 FINASIM Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 320/503/Dinkes/SIP.dr.Sp/X/2016 33.1.1.401.3.16.051686 8/11/2022
115 dr. TIARA DESTAFIA, Sp. THT-KL Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 69/503/Dinkes/SIP.dr.Sp/III/2016 16.2.1.606.3.15.100365 9/21/2020
116 dr. TIENNEKE SABOE, Sp.THT Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 120/503/Dinkes/SIP.dr.Sp./V/2016 32.2.1.606.3.16.012751 6/20/2021
117 Dr. TJATUR YOGA UTAMA, Sp.JP Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 10/503/Dinkes/SIP.dr.Sp/I/2016 31.1.1.402.2.11.030663 8/29/2016
118 Dr. TJATUR YOGA UTAMA, Sp.JP. Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 250/503/Dinkes/SIP.dr.Sp/VIII/2016 31.1.1.402.3.16-030663 12/7/2021
119 dr. TRIHADJI, Sp.BS Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 439/503/Dinkes/SIP.dr.Sp/XII/2016 31.1.1.105.3.16.058608 10/17/2022
120 dr. UJANG YAMIN, Sp.M Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 06/503/Dinkes/SIP.dr.Sp/I/2017 31.1.1.603.3.16.054368 8/13/2022
121 Dr. VIVI SYLVIA KONSTANTINE, Sp.OG Bogor Timur Baranangsiang RS. BMC, Jl. Pajajaran Indah V/97 203/503/Dinkes/SIP.Dr.Sp/X/2013 32.2.1.301.2.13.083425 4/3/2018
122 Dr. WIDJAJANTO, Sp.B Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 313/503/Dinkes/SIP.dr.Sp/IX/2016 31.1.1.101.3.16.031636 1/18/2022
123 Dr. WILDAN NUR, Sp.PD,M.Kes. Bogor Timur Tajur 2. RSIA JULIANA, Jl. Raya tajur No.75 Bogor 01/503/Dinkes/SIP.Dr.Sp/I/2016 33.1.1.401.3.15-092928 3/18/2020
124 dr. WILLY WIJAYA, SpS Bogor Timur Sukasari 1. RS VANIA, Jl. Siliwangi No. 11, Bogor 119/503/Dinkes/SIP.Dr.Sp/IX/2015 32.1.1.605.21.5.066923 4/10/2020
125 dr. YULFIA DAIRINA, SpKK Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 189/503/Dinkes/SIP.dr.Sp/VI/2017 34.2.1.602.3.17.00.23.26 9/23/2022
126 dr. YULIA MARINA, SpPD, FINASIM Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 67/503/Dinkes/SIP.dr.Sp/III/2017 13.2.1.401.3.16.076118 1/30/2022
127 Dr. YUSMIDI, Sp.B Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 451/503/Dinkes/SIP.Dr.Sp/XI/2014 16.1.1.101.2.10.083133 6/4/2015
128 Dr. YUSUF HANDOKO, Sp.OK Bogor Timur Katulampa Klinik Utama Sahabat, Jl. Durian Raya no. 82 31.1.1.805.2.11.025795 31.1.1.805.2.11.025795 12/8/2016
129 Dr. ZAINAL ARIFIN, Sp.S Bogor Timur Baranangsiang RS. BMC, Jl. Pajajaran Indah V/97 0133/503/Dinkes/SIP.Dr.Sp./XII/2011 35.1.1.605.2.116.053389 11/17/2016
130 Dr.ABU SURUR, SpU Bogor Timur Sukasari 2. RS Vania, Jl. Siliwangi No. 11 382//503/Dinkes/SIP.Dr/X/2014 31.1.1.106.2.09.077614 10/21/2014
1. Praktek Dr.dr. Adi Teruna Effendi, SpPD,PhD,

131 Dr.dr. ADI TERUNA EFFENDI, SpPD, PhD Bogor Timur Baranangsiang Villa Duta 3/9 RT.09 RW.09 Kota Bogor 105/503/Dinkes/SIP.dr.Sp/III/2017 31.1.1.401.3.16.024031 5/21/2022
132 dr.RIRI SARISANTI, M.Kes,Sp.S,FINS Bogor Timur Baranangsiang Baranangsiang Kec. Bogor Timur 209/503/Dinkes/SIP.dr.Sp/VII/2016 34.2.1.605.3.16.024558 12/31/2021
133 drg. DWI MUTIA RAMDHINI, SpKGA Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 116/503/Dinkes/SIP.drg.Sp/IV/2017 31.2.2.401.2.17.113631 6/17/2022
134 drg. EVY INDRIANI VYATI, Sp,BM Bogor Timur Baranangsiang 1. RS BMC, Jl. Pajajaran Indah V No.97 Bogor 169/503/Dinkes/SIP.dr.Sp/V/2017 32.2.2.301.3.17.078540 10/29/2022
135 Drg. EVY INDRIANI VYATI, Sp.BM Bogor Timur Baranangsiang RS. BMC, Jl. Pajajaran Indah V/97 32.22.301.2.12.078540 32.22.301.1.12.078540 3/27/2017
136 drg. FAJAR KARTIKA, Sp.Pros Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 102/503/Dinkes/SIP.dr.Sp/V/2016 34.1.2.501.3.16.106724 6/30/2021
1. Praktek drg. Ririt Damayanti Sp,Ortho, Jl. Raya
137 drg. OKSANA MEGASARI, SP,KG Bogor Timur Baranangsiang Pajajaran No.3A Ruko D Kota Bogor 252/503/Dinkes/SIP.dr.Sp/VIII/2017 32.2.2.601.2.15.119397 7/9/2020
138 drg. R. JARVI AGUNG SAVITRI, Sp.KG Bogor Timur Sukasari 1. RS VANIA, Jl. Siliwangi No. 11, Bogor 303/503/Dinkes/SIP.drg.Sp/X/2017 32.2.2.601.3.16.049887 1/21/2021
2. Praktek drg. Ririt Damayanti, Sp.Ort, Jl.Raya
139 drg. RIRIT DAMAYANTI, Sp.Ort Bogor Timur Baranangsiang Pajajaran No.3A Ruko D Kota Bogor 153/503/Dinkes/SIP.dr.Sp/V/2017 31.2.2.201.3.13.014010 4/11/2018
2. Praktek Pribadi Drg.RR Cita Prima D.A, Sp.Ort,

140 Drg. RR CITA PRIMA D.A, Sp.Ortho Bogor Timur Baranangsiang Jl. Raya Pajajaran Ruko V Point Blk 2K 429/503/Dinkes/SIP.Dr.Sp/X/2014 31.2.2.201.2.11.044850 10/20/2016
141 Drg. RR CITA PRIMA D.A, Sp.Ortho Bogor Timur Baranangsiang Baranangsiang Kec. Bogor Timur 428/503/Dinkes/SIP.Dr.Sp/X/2014 31.2.2.201.2.11.044850 10/20/2016
142 Drg. RR. CITA PRIMA D.A, Sp.Ort. Bogor Timur Baranangsiang Baranangsiang Kec. Bogor Timur 144/503/Dinkes/SIP.Dr.Sp/XI/2014 31.2.2.201.2.11.044850 10/20/2016
2. Praktek drg.RR.Cita Prima DA, Sp.Ort, Jl.

Pajajaran No.1 Komp.Ruko V Point Blok ZR Kota
143 drg. RR. CITA PRIMA.DA, Sp.Ort Bogor Timur Baranangsiang Bogor 325/503/Dinkes/SIP.drg.Sp/X/2016 31.2.2.201.3.16.044850 7/3/2022
144 drg. RR. CITA PRIMA.DA, Sp.Ort Bogor Timur Baranangsiang Baranangsiang Kec. Bogor Timur 324/503/Dinkes/SIP.drg.Sp/X/2016 31.2.2.201.3.16.044850 7/3/2022
145 drg. UMI GHONI TJIPTONINGSIH, Sp.Perio Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Bogor 95/503/Dinkes/SIP.dr.Sp/V/2016 32.2.2.801.3.15.095113 3/12/2020
drg. VANIA RUSSENDRA SETIAWAN, Praktek drg. Vania Russendra Setiawan, Sp.Ortho,
146 Sp.Ortho Bogor Timur Baranangsiang Jl. Pajajaran Indah 1 No.7 Kota Bogor 54/503/Dinkes/SIP.drg.Sp/III/2016 12.2.2.201.3.15.078572 12/28/2020
drg. VANIA RUSSENDRA SETIAWAN,
147 Sp.Ortho Bogor Timur Sukasari 3. RS VANIA, Jl. Siliwangi II Bogor 29/503/Dinkes/SIP.drg.Sp/II/2016 12.2.2.201.3.15.078572 12/28/2020
148 drg. VIKA HAPSARI PRATIWI, Sp.KG Bogor Timur Baranangsiang 2. RS BMC, Jl. Pajajaran Indah V/97 Kota Bogor 103/503/Dinkes/SIP.dr.Sp/VII/2016 31.2.2.601.3.15.010593 5/25/2020
149 drg.VANIA RUSSENDRA SETIAWAN, Sp.Ortho Bogor Timur Sukasari 1. RS VANIA, Jl. Siliwangi No. 11, Bogor 29/503/Dinkes/SIP.Dr.Sp/II/2016 12.2.2.201.3.15.078572 12/28/2020

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KECAMATAN BOGOR TIMUR

No Nama Kecamatan Kelurahan Alamat Praktik No Surat No STR Tanggal STR

RB JULIANA, Jl. Durian Raya No.70 BantarKemang

1. Praktek Dr.dr. Adi Teruna Effendi, SpPD,PhD,

2. Praktek Pribadi Drg.RR Cita Prima D.A, Sp.Ort,

2. Praktek drg.RR.Cita Prima DA, Sp.Ort, Jl.

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