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NO NAMA RS DAN DOKTER

1 RSUD GRATI
dr RATIH RENATA, Sp.P
dr. DIAN DINARIN MANDASARI
dr. DWI RIZKIYATUS SYAKINA
dr. ESTI PURWANINGRUM, Sp.A
dr. FAUZAN DJUNAIDI, Sp.OG
dr. FITRI AGUSTIN
dr. MUHAMMAD AFIFUDDIN
dr. RATIH RENATA, Sp.P
dr. SYARAH NANDYA DINNARWIKA

2 RSUD WALUYO JATI


DR AHMAD HARISSUL IBAD
DR NI MADE MAYA PURNAMA W
DR. A.A. SAGUNG MAS C SP. KFR
DR. A.A. SAGUNG MAS C SP.KFR
DR. AHMAD HARISSUL IBAD
DR. ALAM S HIDAYAT, SP.OG
DR. ALAM SYUKUR HIDAYAT, SP.OG
DR. ANANTO PRAMONO
dr. ARYOGA SAMUDRA ASMARA
DR. DIAN SARASWATI, SP.A
DR. DONNY RAHARDIANTO, SP.OG
DR. DYAH LUKITO HAYUNINGRUM
DR. FAUZIJAH SRI R, SP.P
DR. FAUZIJAH SRI RAHMAWATI, SP.P
DR. FRANSISCA SYLVANA SP.KK
DR. GUSTI PINDO ASA ANINDITO
DR. INAYATUN NAZLIYAH
DR. ISLAH HARWITYASTIKA
DR. JULIAN HARTAWAN
DR. KETUT ARIE SUASTAWA, MSC. SP PD
DR. KETUT ARIE SUASTAWA, MSC. SP.PD
DR. KOMANG AYU RP, MSC, SP.A
DR. M. REZA, M. BIOMED, SP. A
DR. MADE SUDERATA, SP.A
DR. MUHAMMAD REZA, M.BIOMED, SP.A
DR. NANIK TRIANA KARTIKA, SP.PD
DR. NANIK TRIANA KARTIKASARI, SP.PD
DR. NENDYO SUSILO, SP.THT
DR. NI MADE MAYA PURNAMA W
DR. NIKKE INDRIASARI, SP M
DR. NIKKE INDRIASARI, SP.M
DR. R. NENDYO SUSILO, SP.THT
DR. RIZKI HABIBIE, SP.PD
DR. SATMOKO NUGROHO, SP.S
DR. SOFIE GIANTARI
DR. SONI INDRAYANA KURNIAWAN
DR. SYAHRUDI, SP. B
DR. SYAHRUDI, SP.B
DR. SYAIFUL ALAM SP.KJ
DR. TOTOK MARDIYANTO, SP.B
DR. TRINANDIKA ARDHANA, SP.JP.FIHA
DR. TRINANDIKA, SP.JP
DR. YESSI R, SP.OG
DR. YESSY RAHMAWATI, SP.OG
DR. ZIADUL HUNAINI E M, SP OT
DR. ZIADUL HUNAINI EL MUNIF, SP.OT
DR.ARYOGA SAMUDRA ASMARA
DRG. AULIYA RAKHMAWATI
DRG. AULIYA RAHMAWATI
DRG. INDI KUSUMAWATI
DRG. VINY ELINE AULIA
drg. VITA DARMAWATI, M.Kes., Sp.PM.
DRG. YULI ESTI, SP.ORT
DRG. YULI ESTININGSIH, SP.ORT

3 RSUD MOH SALEH


A.A. SAGUNG MAS C. SP. KFR
ABD.MUIS, DR.SP.THT
ABD.MUIS, DR.SPTHT
Abdi Saputro dr.
Abdul Muis, dr. Sp.THT
Abraar HS Kuddah, dr. SPB. MSI. MED.
ABRARR HS KUDDAH, SP.B. MSI, MED
Achmad Slamet Mulyanto, dr. Sp, OG
ACHMAD SLAMET MULYANTO, DR. SPOG
ANIS EKA SUMADADARI, DR. UGD
Arief Fadilah, dr
ARIEF FADILLAH, DR IGD
Aris Kurnia Palupi, DRG
ARIS KURNIA, DRG
Bambang Soekotjo, dr. MSC. Sp, An
dr. Adrian yusdianto
dr. A. A. Sagung Mas C, Sp. KFR
dr. A. A. Sagung Mas C, Sp. KFR.
dr. Anis Eka Sumadadari
dr. Anung Sri Handayani, Sp. P
dr. Asriningrum Sp. KFR
dr. Betty Ariyanti, Sp.THT-KL
dr. Brama Rachmantyo Sp. KK
dr. Dwi Agustina Ramadani, Sp. A
dr. Erika Arys Sandra, Sp. PD
dr. Hamna Fitriah, SpTHT-KL
dr. Ketut Ari Suastawa, M. Sc. Sp. PD
dr. Marisca, Sp. M
dr. NOVI RAHAYU ARIANTI, Sp.A
dr. Siswi Hapsari, Sp. M
DR. SISWI HAPSARI, SP. M.
dr. Trinandika Ardhana, Sp. JP.
dr. Trisno Fajar Nursanto Sp.U
drg. Dianiza Afikaningtyas, Sp.BMM
DWI AGUSTINA, DR. SPA
Endah Tjiptaningsih, dr. Sp.A
ENDAH TJIPTANINGSIH, DR.SP.A
ENDAH TJIPTANINGSIH, DR.SPA. WK
Endang Rudiani, DRG
ERIKA A S, DR.SPPD
HAMNA FITRIAH, DR.SPTHT-KL
Hytriawan Posma Putra, Sp. OG
HYTRIAWAN, DR, SPOG
I.G.A. Eka Yuliastuti, DRG
IGA EKA YULIASTUTI, DRG
Indri Hadijah Trianto, dr
INDRIHADIJAH T, DR. IGD
Intan Sudarmadi, dr. Sp. S
INTAN SUDARMADI, DR. SPS
Julia Suwargo, DRG
KETUT ARI SUASTAWA, DR.M.SC.SPPD
Lasmadu Suyanto, dr. Sp. A
LASMADU, DR.SPA
LASMADU, DR.SPA.
M ALI YUSNI, DR.SPB
M. Ali Yusni, dr. Sp.B
M. Andre Wibowo, Sp.OT
MARIA DIAH ZAKARIYAH, DR. SP.OG
Maria diah zakiyah, dr. Sp.OG
MOH AMARUSMANA, DR., SPM
Moh. Amarusmana, dr. Sp.M
MOH.AMARUSMANA, DR.SPM
Mohamad Sarifudin, dr
NURVIA ANDRIANI , DR. IGD
Nurvia Andriani, dr
Ria Nurmala STY, dr
RIA NURMALA STY, DR.IGD
RIZKI
RIZKI HABIBI, DR.SP.PD
RIZKI HABIBI, DR.SP.PD.HD
Rizki Habibie, dr. Sp.PD
Rizki Habibie, dr. Sp.PD.
Rizki Habibie, dr. Sp.PD3
Rizki Habibie, dr. Sp.PDz
Rizki Habibie, dr. Sp.PDZ098
RIZKI HABIBIE, DR.SPPD
RIZKI HABIBIE, DR.SPPD.HD
Saiful Alam, Sp.KJ
Sandoho Ganda, DRG. SP.ORT
SANTY ROSANA, DR
SANTY ROSANA, DR IGD
Silvia Sukma, dr. Sp.AN
Supriyadi, dr. Sp.P
SUPRIYADI, DR.SP.P
Sylvia Marfianti, dr. Sp. KK
SYLVIA MARFIANTI, DR. SP.KK
SYLVIA MARFIANTI,DR SP.KK R.WK
TRIANDIKA ARDHANA, DR. SP.JP
Utoyo Sunaryo, dr. Sp.S
UTOYO SUNARYO, DR.SP.S
Yully Widoretno Wulansari, dr

4 RSUD DR.R.SOEDARSONO
BAZATULLOH HIA
dr ADI WIDIANTO
dr AHMAD MUSTOFA
DR AJIBATUL CHORIQOH
dr ANASTASYA TIYAS R., Sp.OG
DR ANASTASYA TIYAS, SPOG
DR ARMYTA GALUH. SP.JP
DR BAZATULO HIA
dr BAZATULO HIA, Sp.B FInaCS,FICS
dr CATUR ELVI PURNAWATI, Sp.P
dr DARMOJO KANDINATA, Sp.PD
dr DEVVI RIASARI, Sp.PK
DR DIDIT ROESONO, Sp. Kj
dr DOSHI GURITNO, Sp.OT
dr EDY HERLAMBANG, Mkes Sp.OT
dr ERNY DISTRIANDARI, Sp.M
dr FARIED IRWANTO, Sp.PD
dr FITRI INDAHYANTI, Sp.P
DR HAMZAH SP.OT
dr M.FERRY NUR ABADI
dr MOCH. HARIES FRIYADI, Sp.OG
dr MOH. FAUZI, Sp.OG
dr MOH. ZAKKY KURNIAWAN, Sp.JP FIHA
dr NINIK AMBARWATI, Sp.A
DR PHERENICE CHARISTI SPA
dr PHERENICE CHARISTI, SpA
dr RAPHAEL GRATIANO, Sp.KK,FINSDV
dr RATNA SURYANTI HALIM
dr RIFTA YUSTIYARDI, Sp.B
dr RISQON NAFIAH
dr SINTHA RESTUNINGWIYANI, Sp.A,M.Biomed
DR SITI MARIA ULFAH
dr STIAEDES
dr WAHYU KUSBIANTO, Sp.S
dr WAYAN BUDI ARYAWAN, Sp.KFR
dr YUNING KURNIATI, Sp.THT
dr YUNITA FINDI AKSARI
dr ZAINUDIN ZUHRI, Sp.PD.Finasim
DR. EDY HERLAMBANG, M.KES, SP.AND
drg ARINI EKO MAYANGSIH, Sp.Prost
DRG BAGUS SP.BM
drg BAGUS TEGUH UTOMO, Sp.BMM
drg MEI YUNIARTI
drg SENDA WIDYA TRIHANDAYANI
drg SETIYAWAN
drg SUHARTONO, Sp.Ort

5 RSU WONOLANGAN
ACHMAD HANAFI, M.SI. DR. H
Achmad Slamet M. dr, Sp OG
ALBERTI SHINTYA SARI. DR
BRAMA RACHMANTYO. DR, SP KK
CATUR PRANGGA WADANA. DR, SP A
Djauhar Kumara Dewa. dr, Sp.OG
DR ANDRE, SPOT
DR DJAUHAR,SPOG
DR IDAMA A R SIMANJUNTAK
DR NANIK, SPPD
DR SAIFUL ALAM, SPKJ
DR SAROYO,SPA
DR. ACHMAD SLAMET,SPOG
DR. ALBERTI SHINTYA
DR. ALI YUSNI, SPB
DR. AMARUSMANA, SP.M
DR. ANDRE,SPOT
DR. BETTY
DR. BETTY W P
DR. BRAM, SP.KK
DR. BRAMA RACHMANTYO, SP.KK
DR. BRANI
DR. CATUR, SPA
DR. DIKA, SPJP
DR. ERIKA, SPPD
DR. HAMNA, SP THT KL
DR. HANAFI
DR. HARI WIDIONO, SPKK
DR. M ILYAS, SPB
DR. M. TAUFIK, SP. PD
DR. NANIK, SP.PD
DR. NENDYO SUSILO, SP. THT
DR. NURIA DEVI MAHARANI
DR. RIZA
DR. RIZA R
DR. RIZKA OCTAVIA
DR. RIZKA OKTAVIANA
DR. RIZKI RAFIKA SARI
DR. SAIFUL ALAM, SPKJ
DR. SYAIFUL ALAM, SP.KJ
DR. UTOYO SUNARYO, SP.S
DR.H.MOH ILYAS,SPB
DR.H.MOH TAUFIK,SPPD
DR.SATMOKO MOMY NUGROHO, SPS
DR.SUPRIYADI,SPP
DRG. KRISNA
DRG. LINTANG NURINA
Erika Arys Sandra. dr, Sp PD
H. Moh. Ilyas. dr, Sp.B
H. MOH. TAUFIK. DR, SP.PD
Hamna Fitria. dr, Sp THT
Hari Widiono. dr, Sp KK
IDAMA A. R. SIMANJUNTAK. DR
Krisna Perdana Putra. drg
MOHAMMAD ALI YUSNI. DR, SP. B
MOHAMMAD AMARUSMANA. DR, SPM
MUHAMMAD ANDRIE. DR, SP. OT
NANIK TRIANA K. DR, SP PD
NENDYO SUSILO. DR, SP THT
NURIA DEVI MAHARANI.DR
RANI FITRIA ANGGRAINI,DR, SP.PD
Riza Rahmawati. dr
Rizka Oktavia Arianti. dr
SAROJO HARTOSEROYO. DR, SP.A
SATMOKO MOMMY NUGROHO. DR, SP. S
SUPRIYADI. DR, SP.P
Syaiful Alam, dr.,Sp. Kj
TRINANDIKA ARDHANA. DR, SP. JP
TRISNO FAJAR NURSANTO. DR, SP.U
UTOYO SUNARYO. DR, SP.S
VIDI PRASETYO UTOMO. DR

6 RSI MASYITOH (JST)


DEANTY,SP.A
DONNA TINNIKE,M.PSI
dr A.R RETNOWULAN, SP.P
dr ANDI RAHMANSYAH
dr BAMBANG PRASENO,SP.B
dr BAZATULLO,SP.B
dr BROTO SUWADJI,SP.OT
dr BUDI SANTOSO,SP.PD
dr BUDIARTO, SP.JP
dr DOSHI GURITNO,SP.OT
dr EDY MUSTOFA,SP.OG
dr ERNY DISTRIANDARI,SP.M
dr FARIED IRAWANTO, SP.PD
dr GUNAWAN TRI,SP.M
dr HERLAMBANG
dr INKHUD MUAWANAH
dr JUNAIDI HASMI A
dr KUNTADI S.H,SP.OT,MKES(MMR)
dr LAKSITARINI,SP.S
dr MOCH. JUNDI AGUSTORO,SP.B
dr MOCH. MASYKUR
dr MOCH. ZAINUN,SP.P
dr MOCHAMAD HARIES FRIYADI,SP.OG
dr NOVEMI ELYANAWATI,SP.THT
dr NURLAELI S,SP.P
dr OKTAVIAN PRASETYA,SP.A
dr RANI M,SP.THT-KL
DR REZDY
dr SISWO PURNOMO
dr SOEHERIYANTO,SP.A
dr SULTAN
dr SYAMSUL BACHRI,SP.OG
DR. MOCH. KUNTADI, SP
drg ANDYKA YAYAN S
drg SITI FATIMAH
eko bambang s,MFT,RPT
HERLAMBANG KUSUMO

7 RSIA AMANAH
dr ABDUL HAKIM HS KUDDAH, Sp.OG
dr CATUR PRANGGA WADANA, SP, Sp.A
dr CATUR PRANGGA WADANA,, Sp.A
dr LASMADU SUYANTO, Sp.A
dr MARIA DIAH ZAKIYAH, Sp.OG
dr NOVI RAHAYU ARIANTI, Sp.A
dr ROBERT ONE DANIESHA, Sp.OG
dr. ABDUL HAKIM HS KUDDAH, SpOG
dr. CATUR PRANGGA WADANA, Sp.A
dr. LASMADU SUYANTO, Sp.A
DR. LASMADU SUYANTO, SPA
dr. MARIA DIAH ZAKIYAH, Sp.OG
dr. MOH NUR HUMAIDI ZULMI
dr.H. AMINUDDIN, Sp.OG (K) M.MKES
dr.H. AMINUDDIN, Sp.OG.M.MKES

8 RSIA MUHAMMADIYAH
dr. ABDUL HAKIM, Sp.OG
dr. ANWAR SANUSI
DR. DWI WAHYUNINGISH
dr. H. SAROJO HARTOSOERODJO, Sp.A
dr. HARINI RAHADIYANTI
dr. HYTRIAWAN POSMA PUTRA, Sp.OG
dr. MARIA DIAH, Sp.OG
dr. NOVI RAHAYU ARIANTI, Sp.A
dr. TJIPTO ADI, Sp.A

9 RSIA FATIMAH
DR. FEBRI YASIN FACHRONI
DR. H. ALAM SYUKUR HIDAYAT, SP.OG
DR. MADE SUDERATA, SP. A
DR. SIGIT ANTONI
DR.NI MADE MAYA PURNAMA WULANDARI

10 RS RIZANI
DR. A. ZIADUL HUNAINI EL MUNIFI, SP.OT
DR. A. ZIYADUL HUNAINI EL MUNIFI, SP.OT
DR. A.A. SAGUNG MAS CAHYANDARI. SP. KFR
DR. A.A. SAGUNG MAS CAHYANDARI. SP.KFR
DR. ANANTO PRAMONO
DR. BENNY KRISTANTO
DR. BETTY ARIYANTI, SP. THT-KL
DR. DEWI PUSPITORINI, SP. KK
DR. FANDI AGUS W.S, THT-KL
DR. FANTI NUR RUHANI
DR. FAUZIJAH SRI RAHMAWATI, SP.P
DR. FAUZIJAH SRI RAHMAWATI,SP.P
DR. GUSTI PINDO ASA ANINDITO
DR. H. TOTOK MARDIANTO. SP.B
DR. KARINDA DWIWORO HS., SP. OG
DR. KARINDA DWIWORO, HS, SP.OG
DR. KETUT ARI SUASTAWA, SP.PD
DR. KOMANG AYU R P, M.SC., SP.A
DR. KOMANG AYU R. PURNAMANINGSIH, M.SC, SP.A
DR. LINA INDAYATI
DR. MUHAMMAD REZA, M.BIOMED. SP.A
DR. RIZKI HABIBI, SP.PD
DR. RIZKI HABIBIE,SP.PD
DR. ROBERT ONE DANIESHA M. SP.OG
DR. SYAHRUDI, SP. B
DR. SYAHRUDI, SP.B
DR. TOTOK MARDIANTO, SP. B
DR. TRINANDIKA ARDHANA, SP.JP
DRG. AJENG ARINDA PRABAWATI
DRG. ALEX WILLYANDRE NUR PUJI SUWARJO

11 RS SAHABAT
dr. ANDRI RUSLY
dr. ANIS TRISNAWATI P
DR. EKA NASRUR MAULANA, SP.OG
dr. ESTI PURWANINGRUM, Sp.A
dr. FARIED IRAWANTO, Sp.PD
dr. FAUZAN D, Sp.OG
dr. HAMZAH, Sp. OT
dr. MEIDI FERDIAN
dr. MOCH ZAINUN, Sp.P
dr. RIFTA YUSTIYARDI SUDJOKO, Sp.B
dr. RIKE JEFF YUSS J H
dr. RIRIN WIDYASTUTIK
dr. SANTOSO RAHARDJO,, Sp.OG
dr. UTIN VARIANTINI, M.KES.,SP.KK
dr. WIRATMONO R, Sp.S
12 RS TONGAS
DR. A FARIZ N,SP.PD
DR. AMELIA RETNANI. SPOG
DR. ARNI
DR. ASTRI ULIA,SP.PD
DR. CATUR PRANGGA W,SPA
DR. CATUR PRANGGA WADANA,SP.A
DR. DENY HIDAYATI
DR. DJAUHAR,SP.OBG
DR. DJAUHAR,SPOG
DR. FANDI AGUS W, SP.THT-KL
DR. HENING W
DR. MOCH. AMARUSMANA
DR. MOH. AMARUSMANA,SP.M
DR. MOMMY
DR. MOMMY SPS
DR. MOMMY,SP.SAR
DR. NINA JULIANI
DR. NOVITA MAULIDIYAH, SP.P
DR. PUTI LENGGO GENI,SP.OG
DR. RANI FITRIA A, SP.D
DR. ROBERT MAHENDRA,SP.OG
DR. ROBERT ONE D. MAHENDRA,SP.OG
DR. TABITA NOVITA ANGRAINI, SP.B
DR. VONNY M DECKERT,SP.A
DR. VONY MARIANY D,SP.A
DR. ZAINUDDIN,SP.D
DR. ZAINUDDIN,SP.PD
DRG. VIKE MEI D
DRG. WIDI
DRG. WIDYA DINA
DTR. TABITA

13 RS GRAHA SEHAT
DR ANTON SP.A
DR CHANDRA
DR DICKY SPA
DR I WAYAN H SP.B
DR LAKSITARINI SPS
DR NOVI SP.OT
DR RUDY SPOG
DR SHINTA
DR. A. ZIADUL H.E.M, SP. OT
DR. ABRAAR HS KUDDAH, SP. B
DR. ADYAN DONASTIN, SP. P
DR. AHMAD UBAIDILLAH HARIS
DR. ANGGUN
DR. ANTON SP.A
DR. ANTON SP.B
DR. BENNY SP.PD
DR. CANDRA
DR. CHANDRA GUNAWAN
DR. CHRISTIAN TANAYA
DR. DANANG
DR. DICKY FATURRACHMAN, SPA. M. BIOMED
DR. DONNY RAHADIANTO, SP. OG
DR. FANDI AGUS WIBOWO SP.THT
DR. FARAH
DR. FAUZIJAH SRI R, SP. P
DR. FRANKY SP.B
DR. GANDA
DR. HJ. YESSY R. ADI, SP. OG
DR. I WAYAN SP.B
DR. ISLAH H
DR. JOKO, SP.JP
DR. KARISMA SETIANA DEWI
DR. KETUT ARI SUASTAWA, SP. PD
DR. KRISMA
DR. LAKSITARINI W.M.H, SP S
DR. MUH REZA, M. BIO MED, SP. A
DR. MUH REZA, M. BIOMED, SP. A
DR. NAFIS SP. A
DR. NANIK TRIANA, SP. PD
DR. NANIK TRIANA, SP.PD
DR. NENDYO SUSILO, SP.THT-KL
DR. NIKKE INDRIASARI, SP. M, M.MKES
DR. NOVI SP.OT
DR. NURHADI SP.M
DR. RAHADIAN SP. PD
DR. RIKE JEFF
DR. RUDI HASAN SPOG
DR. RUDY SPOG
DR. SHINTA. SP.A
DR. SINTHA RESTUNINGWIYANI SP. A
DR. SONY GUNAWAN
DR. SUGIONO ADI
DR. SUHARTO, SPRAD
DR. SUSANTI SUGIANTO
DR. SYARIFAH FARAH REVIANA
DR. TOTOK MARDIYANTO, SP.B
DR. TUTUK SP.M
DR. VICTOR
DR. VIKKY SATRIYO WIBOWO
DR. YUNITA LEKSONO, SPJP.,FIHA
DR.IQBAL S.A
DR.TUTUK
DRG. ADE ERIKA
DRG. ANGGRAENI
DRG. DINA FAKHRIANI
DRG. FUAD AL FARISI
DRG. KUMIATUL ISNAINI
DRG. KURNIATUL ISNAINI
DRG.DINA FAKHRIANI
DRG.ISNAENI
MAIDATUL MASTURO
RONY,SPOG

14 RS BHAYANGKARA WATUKOSEK
DR. ADHI BAGUS SUBARKAH, SP.OT
DR. ALBERT LINARDY, SP.B
DR. ANTON WIBOWO, M.Kes,Sp.A
DR. ANTON. SP. A
DR. DINA WAHYUNINGTYAS
DR. EKA NASRUR. SP.OG
DR. FANJIYAH DWI ERMA
DR. HIKMAH MAULIDAH, SP.RAD
DR. I.W. HARNAYA. S.PB. FINACS
DR. LINTANG
DR. MEGASARI
DR. MEIDI
dr. MEIDI FERDIAN
DR. NOVY,NGAN, SP.OG
DR. OKI HANDRIAWAN RINANTO, SP.PD
DR. RIKE JEFF
DR. RIKE JEFF YUS JEFFI HABIBI
DR. RIRIN WAHYUNING TYAS TUTIK,SP. A
DR. RIRIN WAHYUNINGTYAST,SP. A
DR. RIRIN WAHYUNINGTYAST.,SP. A
DR. SHERA NADILA
DR. YUFI
DR. ZAINUDIN. SP.PD
DR.ERMA
DR.ERYNA
DR.SOLEH,SP.S
DR.ZAINUDDIN
DRG. ESKA DIANTI
DRG. MOHAMAD RIZKI HARISMAN
DRG. SILFI
DRG.SILFIYATUS ZAHRO
DRG.SILFIYATUS ZAHROH

15 RS DHARMA HUSADA (JST)


DR ANDRE
DR M. TAUFIK, SP. PD
DR. ABDUL HAKIM KUDDAH, SP. OG
DR. ABRAAR HS KUDDAH, SP. B .M. MED
DR. ADINDA DIANING SAWITRI
DR. ANDRIE, S.POT
DR. ANIS
DR. CHOLIDA HANUM
DR. CHOLIDAH HANUM
DR. CIK KAHADI
DR. DWI AGUSTIN, SP. A
DR. DWI AGUSTINA, SP. A
DR. HAMNA, SP.THT
DR. INDRI
DR. INDRI KHADIJAH
DR. INTAN SP.S
DR. ISNA HAJAR MURSYIDAH
DR. M. SYARIFUDIN
DR. WISMARDANI UTAMI
DR. YULLY W WULANSARI
DR.CIK KAHADI
DR.MOH TAUFIK SP.PD
DR.TRINANDIKA ARDANA ,SP.JP
drg. Dianiza Afikaningtyas, Sp.BMM
DRG. WISMARDANI UTAMI

16 RS MITRA SEHAT (JST)


DR ANTON SP.A
DR CHANDRA
DR DICKY SPA
DR I WAYAN H SP.B
DR LAKSITARINI SPS
DR NOVI SP.OT
DR RUDY SPOG
DR SHINTA
DR. ADYAN DONASTIN, SP. P
DR. ANGGUN
DR. ANTON SP.A
DR. ANTON SP.B
DR. BENNY SP.PD
DR. CANDRA
DR. CHRISTIAN TANAYA
DR. DANANG
DR. DICKY FATURRACHMAN, SPA. M. BIOMED
DR. FRANKY SP.B
DR. I WAYAN SP.B
DR. JOKO, SP.JP
DR. LAKSITARINI W.M.H, SP S
DR. NOVI SP.OT
DR. NURHADI SP.M
DR. RAHADIAN SP. PD
DR. RIKE JEFF
DR. RIRIN
DR. RUDI HASAN SPOG
DR. RUDY SPOG
DR. SHINTA. SP.A
DR. SINTHA RESTUNINGWIYANI SP. A
DR. SONY GUNAWAN
DR. SUGIONO ADI
DR. SUHARTO, SPRAD
DR. TUTUK SP.M
DR. VICTOR
DR. YUNITA LEKSONO, SPJP.,FIHA
DR.IQBAL S.A
DR.TUTUK
DRG. ANGGRAENI
DRG. DINA FAKHRIANI
DRG. FUAD AL FARISI
DRG. KURNIATUL ISNAINI
DRG.DINA FAKHRIANI
DRG.ISNAENI
MAIDATUL MASTURO
YUNITA SP.JP

17 RSUD BANGIL
dr AGUNG PRABOWO
dr AISYAH ROMADHONA RETNO WULAN, Sp.P
dr ALBERT LINARDY, Sp.B
dr ALIEF YUDO ASTUTI, Sp.PA
dr ARIANTO PRABOWO, Sp.OT
dr ARIES SUBIANTO, Sp.P
dr AZIZ ABDULLAH, Sp.S
dr BAGUS TEGUS UTOMO, SP.BM
dr BAMBANG PRASENO ARDIANSYAH, Sp.B
dr BROTO SUWADJI, Sp.OT
dr BUDI SANTOSO, Sp.PD
dr BUIH AMARTIWI, Sp.KK
dr CECILIA DIAH PUSPITASARI, Sp.PD
dr CICILIA DIAH PUSPITASARI, Sp.PD
dr DARMI SAPTO KURNIAWATI
dr DAVID RUBIYAKTHO, Sp.JP
dr DEANTY, Sp.A
dr DEASY ALDA KUSALDI
dr DIMAS SATRIO BAGUS SANTOSO
dr EKA NASRUR MAULANA, Sp.OG
dr ESTI PURWANINGRUM, Sp.A
dr FAUZI SAMLAN
dr FENDY FATHKHURROHMAN GOZI, Sp.BS
DR FERDYAN RACHMAD E, SP.U
dr FERDYAN RACHMAD EFENDI, Sp.U
DR FERRY LIMANTARA , SP. EM
dr FERRY LIMANTARA, Sp. EM
dr GLADISH RINDA SUKMADEWI
dr GUNAWAN TRI R, Sp.M
dr HENY MARTINI, Sp.JP(K)
dr IMAM SUBADI, Sp.KFR
dr IMAM SUBADI, Sp.KFR (K)
dr IRENE HERDIANTO
dr LAKSITARINI WMH, Sp.S
dr M. JUNDI AGUSTORO, Sp.B
dr MOCH CAHYO SUBIANTORO, Sp.P
dr MOHAMMAD ADIL BAKTIAR
DR MYRA EDWINA SUKAMTO, SP. KJ
dr NOVEMI ELYNAWATI, Sp.THT
dr NOVIDA ARIANI, Sp.OG
DR NOVITA SARI INDRAMEGA
dr OKTAVIAN PRASETYA W, Sp.A
dr QASHASTIA SUKMA PARIPURNA
dr RANI MAHARYATI, Sp.THT-KL
dr RETTY KHARISMA SARI, Sp.PD
DR RIKO APRIANTO SYARIFUDDIN
dr RIZKY AFIANTI
dr RONI SUBRATA, Sp.OG
dr SIENTIAWATI TJAHYONO
dr SUGIONO ADI
dr TRIJUNI ANDIHARTI, Sp.A
dr TUTUK WIBOWO, Sp.M
dr VIDIA EKA DAMAYANTI, Sp.PD
dr VIEGAS GENANO
dr YAHYA IRWANTO, Sp.OG (K)
dr YUNITA LAKSONO, Sp.JP
dr ZAINUDIN ZUHRI, Sp.PD
DR. AGUNG PRABOWO
DR. AISYAH ROMADHONA RETNO WULAN, SP. P
DR. ALBERT LINARDY, SP.B
DR. ALIEF YUDO ASTUTI, SP.PA
DR. AR. RETNOWULAN, SP. P
DR. ARIANTO PRABOWO, SPOT
DR. ARIES SUBIANTO SP.P
DR. AZIZ ABDULLAH, SP. S
DR. AZIZATI ROCHMANIA, SP. KFR
DR. BAMBANG PRASENO ARDIANSYAH, SP. B
DR. BROTO SUWADJI SP.OT
DR. BUDI SANTOSA, SP. PD
DR. BUDI SANTOSO, SP. PD
DR. BUIH AMARTIWI, SP. KK
DR. CECILIA DIAH PUSPITASARI, SP. PD
DR. DARMI SAPTO KURNIAWATI
DR. DAVID PRAKASA, SP.BS
DR. DAVID RUBIYAKTHO SP.JP
DR. DEANTY, SP. A
DR. DEASY ALDA KUSALDI
DR. DIMAS SATRIO BAGUS SANTOSO
DR. EKA NASRUR MAULANA, SP.OG
dr. ESTI PURWANINGRUM, Sp.A
DR. ESTI, SP. A
DR. FAUZI SAMLAN
DR. FEBRINA DIAH PUSPITA SP.PA
DR. FENDI FATHKHURROHMAN GOZI,SP.BS
DR. FENDI FATKHURROHMAN GOZI, SP.BS
DR. FERDYAN RACHMAD EFENDI, SP.U
DR. FERDYAN RACHMAD EFENDI, SPU
DR. GLADISH RINDA SUKMADEWI
DR. GUNAWAN TRI R, SP. M
DR. HENY MARTINI SPJP
DR. HERY SUSILO, SP. B (K) ONK
DR. IMAM SUBADI, SP, KFR (K)
DR. IRENE HERDIANTO
DR. LAKSITARINI WMH, SP. S
DR. M CAHYO S, SP.P
DR. M. JUNDI AGUSTORO, SP. B
DR. MOHAMMAD ADIL BAKTIAR
DR. MOHAMMAD HELMI WIBISONO
DR. NOVEMI ELYNAWATI, SP. THT
DR. NOVIDA ARIANI, SP.OG
DR. NOVITA SARI INDRAMEGA
DR. OKTAVIAN PRASETYA W, SP.A
DR. QASHASTIA SUKMA PARIPURNA
DR. R. NURI JUNIAR
DR. RAMADI SATRYO W
DR. RANI MAHARYATI, SP.THT-KL
DR. RETTY K.S , SP.PD
DR. RIZKY AFIANTI
DR. RONI SUBRATA SP.OG
DR. SIENTIAWATI TJAHYONO
DR. SUGIONO ADI
DR. TRIJUNI ANDIHARTI, SP. A
DR. TUTUK WIBOWO, SP. M
DR. TUTUK WIBOWO, SP. M.
DR. VIDIA EKA DAMAYANTI, SP.PD
DR. VIEGAS GENANO
DR. YAHYA IRWANTO, SP.OG (K)
DR. YUNITA LAKSONO, SP. JP
DR. ZAINUDIN ZUHRI, SP.PD
drg BAGUS TEGUH UTOMO, Sp.BM
DRG BAGUS TEGUS UTOMO, SP. BM
drg BUDI SANTOSO, Sp.BM
drg DINDA CATUR PANGESTUTI
drg FERY ANITA SOFIANA, Sp.Ort
drg NURI JULIAR
drg SURYADI WIJAYA, Sp.KG
drg SUYUDONO
DRG. BUDI SANTOSO, SP.BM
DRG. DINDA CATUR PANGESTUTI
DRG. FERRY ANITA SOFIANA, SP.ORT
DRG. NURI JUNIAR
DRG. SURYADI WIJAYA SP. KG
DRG. SUYUDONO

18 Klinik Mata Pandaan


dr. DANANG SAKSONO, Sp.M
dr. DANANG SAKSONO, Sp.M.
dr. INDRI WAHYUNI, Sp.M (K)
dr. M.NURDINZUHRI, Sp.M.
dr. MOH. NURDIN ZUHRI, Sp.M
dr. MOH.NURDIN ZUHRI, Sp.M.
dr. NIKKE INDRIASARI, Sp.M
dr. NIKKE INDRIASARI, Sp.M.

19 RS ASIH ABYAKTA
DR ADYAN, SP.P
dr AZIZ ABDULLAH, Sp.S
dr BAYU NIZAR FATHONI
dr BROTO SUWADJI, Sp.OT
dr DAVID SpJP
dr DEWA MADE WIDI HERSANA, Sp.PD
dr EDMOON LIUWAN, Sp OG, M. Kes
dr ENDYT PURWANDARI, Sp.A
dr ERVAN DANI HANDOYO
dr MAS ULIL ALBAB
DR MUHAMMAD AFIFUDIN
DR MUHAMMAD ROBBY SPB
DR NUR RAHMAWATI
dr SIGID DJUNIAWAN, Sp.B
dr VITRI BRILYANTINA APRININGSIH, Sp. Rad
DR. A.FARID WAJDI,SP.N
DR. AR REMOWULAN SP.P
DR. AR RETNOWULAN, SP.P
DR. KIAJENG WINDA, SP.M
dr. NOVIDA A, SpOG
DR. NYOMAN INDRA BAYU, SP.M
DR. RANI M,SP.THT-KL
DR. VIDIA EKA DAMAYANTI, SP.PD
DR.ERVAN DANI HANDOYO
DR.M FARIZ,SP.N
Drg APPRILIA FITRI KARTIKA
Drg DEWI ANGGRAENI BIBI, Sp. KGA
DRG. MELA KARINA MAYA RIZA
M.FARIZ,SP.N
NAMA DOKTER SESUAI SIP NOMOR SIP

RATIH RENATA 446/SIP-DS/61/424.072/2018


DR. DIAN DINARIN MANDASARI 446/5264/424.072/2018

ESTI PURWANINGRUM 446 / SIP-DS / 34 / 424.072 / 2018


dr. Fauzan Djunaidi, Sp.OG SIP - DS / 11 / 424.072 / 2018

dr. MOKHAMMAD AFIFUDDIN SIP - DS / 11 / 424.072 / 2018


RATIH RENATA 446/SIP-DS/61/424.072/2018
SYARAH NANDYA DINNAR WIKA SIP - DU/ 060 / 424.072 / 2018

AHMAD HARISSUL IBAD 446/008/SIP.D/426.116/201


NI MADE MAYA PURNAMA WULANDARI 446/009/SIP.D/426.116/201
dr. AA Sagung Mas Cahyandari, Sp. KFR 446/001/SIP.Dspl/426.404/2016
dr. AA Sagung Mas Cahyandari, Sp. KFR 446/001/SIP.Dspl/426.404/2016
AHMAD HARISSUL IBAD 446/008/SIP.D/426.116/201
dr. H. Alam S. Hidayat, Sp. OG 446/005/SIP.Dspl/426.116/2017
dr. H. Alam S. Hidayat, Sp. OG 446/005/SIP.Dspl/426.116/2017
ANANTO PRAMONO 446/039/SIP.D/426.404/201
ARYOGA SAMUDRA ASMARA 446/035/SIP.D/426.116/2018
DIAN SARASWATI 446/013/SIP.Dspl/426.116/2018
dr. Donny Rahadianto, Sp. OG 446/010/SIP. Dspl/426.116
DYAH LUKITO HAYUNINGRUM 446/015/SIP.D/426.116/201
dr. Fauzijah Sri R, Sp. P 446/011/SIP.Dspl/426.116/
dr. Fauzijah Sri R, Sp. P 446/011/SIP.Dspl/426.116/
dr. Fransisca Sp. KK 446/011/SIP.Dspl/426.404/
GUSTI PINDO ASA A 446/071/SIP.D/426.116/201
INAYATUN NAZLIYAH 446/062/SIP.D/426.404/201
DR.ISLAH HARWITY ASTIKA 446/037/SIP.D/426.404/201
JULIAN HARTAWAN WIJAYA 446/036/SIP.D/426.116/2018
dr. Ketut Arie S., MSc., Sp. PD 446/021/SIP.Dspl/426.116/2018
dr. Ketut Arie S., MSc., Sp. PD 446/021/SIP.Dspl/426.116/2018
dr. Komang Ayu R.Purnamaningsih, M.Sc, Sp.A 446/003/SIP.Dspl/426.404/
dr. Muhammad Reza, M. Biomed Sp. A 446/006/SIP.Dspl/426.404/
dr. Made Suderata, Sp.A 446/037/SIP.Dspl/426.404/
dr. Muhammad Reza, M. Biomed Sp. A 446/006/SIP.Dspl/426.404/
dr. Nanik Triana K, Sp. PD 446/050/SIP.Dspl/426.404/
dr. Nanik Triana K, Sp. PD 446/050/SIP.Dspl/426.404/
dr. Nendyo Susilo, Sp. THT 446/022/SIP.Dspl/426.116/
NI MADE MAYA PURNAMA WULANDARI 446/009/SIP.D/426.116/201
dr. Nikke Indriasari, Sp.M, MMKes 446/4.044/426.102/2014
dr. Nikke Indriasari, Sp.M, MMKes 446/4.044/426.102/2014
dr. Nendyo Susilo, Sp. THT 446/022/SIP.Dspl/426.116/
dr. Rizkie Habibie, Sp. PD 446/021/SIP.Dspl/426.116/
dr. Satmoko Mommy N, Sp. S 446/005/SIP.Dspl/426.404/
SOFIE GIANTARI 446/056/SIP.D/426.116/201
SONI INDRAYANA KURNIAWAN 446/005/SIP.D/426.404/201
SYAHRUDI 446/012/SIP.Dspl/426.116/
SYAHRUDI 446/012/SIP.Dspl/426.116/

dr. H. Totok Mardiyanto, Sp.B 446/008/SIP.Dspl/426.116/

dr. Hj. Yessi R. Adi, Sp. OG 446/040/SIP.Dspl/426.404/


dr. Hj. Yessi R. Adi, Sp. OG 446/040/SIP.Dspl/426.404/
dr. A. Ziadul HEM, Sp. OT 446/013/SIP.Dspl/426.404/2015
dr. A. Ziadul HEM, Sp. OT 446/013/SIP.Dspl/426.404/2015
ARYOGA SAMUDRA ASMARA 446/035/SIP.D/426.116/2018
drg. Auliya Rakhmawati 446/008/SIP.Dg/426.116/20
drg. Auliya Rakhmawati 446/008/SIP.Dg/426.116/20
drg. Indi Kusumawati 446/008/SIP.Dg/426.404/20
VINY ELINE AULIA 446/013/SIP.Dg/426.116/2018
drg. Vita Darmawanti, M. Kes, Sp. PM 446/016/SIP.Dg/426.116/2018
YULI ESTININGSIH 446/006/SIP.Dspl/426.116/
YULI ESTININGSIH 446/006/SIP.Dspl/426.116/

dr. AA Sagung Mas Cahyandari, Sp. KFR 446/014/SIP.Dspl/426.404/

dr. Abraar HS Kuddah, MED, Sp. B 014.1/DINKES/IPDS/IV/2015


dr. Abraar HS Kuddah, MED, Sp. B 014.1/DINKES/IPDS/IV/2015
ACHMAD SLAMET MULYANTO 446/58/425.202/2016
ACHMAD SLAMET MULYANTO 446/58/425.202/2016
dr. Anis Eka Sukmadadari 446/20/425.117/SIPDU/2017
ARIEF FADILLAH 446/67/425.202/2016
ARIEF FADILLAH 446/67/425.202/2016
drg. Aris Kurnia Palupi 446/06/425.117/SIPDG/2018
drg. Aris Kurnia Palupi 446/06/425.117/SIPDG/2018
BAMBANG SOEKOTJO 446/04/425.117/SIPDS/2017

dr. AA Sagung Mas Cahyandari, Sp. KFR 446/014/SIP.Dspl/426.404/


dr. AA Sagung Mas Cahyandari, Sp. KFR 446/014/SIP.Dspl/426.404/
dr. Anis Eka Sukmadadari 446/20/425.117/SIPDU/2017
dr. ANUNG SRI HANDAYANI 446/24/425.117/SIPDS/2018
DR. BETTY ARIYANTI 446/13/425.117/SIPDS/2018
BRAMA RACHMANTYO 446/11/425.117/SIPDS/2018
DWI AGUSTINA RAMADANI 446/28/425.202/2016
dr. Erika Arys S., Sp. PD 008.1/DINKES/IPDS/2014
dr. Hamna Fitriah, Sp. THT 015.1/DINKES/IPDS/IV/2015
dr. Ketut Arie S., MSc., Sp. PD 007.2/DINKES/IPDS/V/2014
MARISCA 446/01/425.117/SIPDS/2019
NOVI RAHAYU ARIANTI 446/16/425.117/SIPDS/2018

dr. Triandika,Sp.JP 446/20/425.117/SIPDS/2018


TRISNO FAJAR NURSANTO 446/18/425.117/SIPDS/2018

DWI AGUSTINA RAMADANI 446/28/425.202/2016

drg. Endang Rudiani 446/09/425.202/2016


dr. Erika Arys S., Sp. PD 008.1/DINKES/IPDS/2014
dr. Hamna Fitriah, Sp. THT 015.1/DINKES/IPDS/IV/2015
dr. Hytriawan Posma P., Sp. OG 446/03/425.202/2016
dr. Hytriawan Posma P., Sp. OG 446/03/425.202/2016
drg. Iga Eka Yuliastuti 446/024/425.202/2016
drg. Iga Eka Yuliastuti 446/024/425.202/2016
Indri Hadijah Trianto 446/37/425.117/SIPDU/2017
Indri Hadijah Trianto 446/37/425.117/SIPDU/2017
dr. Intan Sudarmadi, Sp. S 005.1/DINKES/IPDS/V/2014
dr. Intan Sudarmadi, Sp. S 005.1/DINKES/IPDS/V/2014
drg. Julia Suwargo 446/27/425.202/2016
dr. Ketut Arie S., MSc., Sp. PD 007.2/DINKES/IPDS/V/2014

MOHAMMAD ALI YUSNI 010.1/DINKES/IPDS/XI/2014


MOHAMMAD ALI YUSNI 010.1/DINKES/IPDS/XI/2014
dr. M. Andrie Wibowo, Sp. OT 446/03/425.202/2015
dr. Maria Diah Zakiyah, Sp. OG 013.2/DINKES/IPDS/V/2015
dr. Maria Diah Zakiyah, Sp. OG 013.2/DINKES/IPDS/V/2015
dr. Moh. Amarusmana, Sp. M 446/35/425.202/2016
dr. Moh. Amarusmana, Sp. M 446/35/425.202/2016
dr. Moh. Amarusmana, Sp. M 446/35/425.202/2016

NURVIA ANDRIANI 059.1/DINKES/IPDU/IV/2015


NURVIA ANDRIANI 059.1/DINKES/IPDU/IV/2015
DR RIA NURMALA SETYANINGRUM 446/12/425.117/2017
DR RIA NURMALA SETYANINGRUM 446/12/425.117/2017
dr. Rizkie Habibie, Sp. PD 446/51/425.202/2016
dr. Rizkie Habibie, Sp. PD 446/51/425.202/2016
dr. Rizkie Habibie, Sp. PD 446/51/425.202/2016
dr. Rizkie Habibie, Sp. PD 446/51/425.202/2016
dr. Rizkie Habibie, Sp. PD 446/51/425.202/2016
dr. Rizkie Habibie, Sp. PD 446/51/425.202/2016
dr. Rizkie Habibie, Sp. PD 446/51/425.202/2016
dr. Rizkie Habibie, Sp. PD 446/51/425.202/2016
dr. Rizkie Habibie, Sp. PD 446/51/425.202/2016
dr. Rizkie Habibie, Sp. PD 446/51/425.202/2016

drg. Sandoho Gandha, Sp. Ort. 446/33/425.202/2016

SYILVIA SUKMA DEWI 446/37/425.202/2016


dr.Supriadi,Sp.P 446/15/425.202/2016
dr.Supriadi,Sp.P 446/15/425.202/2016
dr. Sylvia Marfianti, Sp. KK 446/7/425.117/SIPDS/2017
dr. Sylvia Marfianti, Sp. KK 446/7/425.117/SIPDS/2017
dr. Sylvia Marfianti, Sp. KK 446/7/425.117/SIPDS/2017
dr. Triandika,Sp.JP 446/20/425.117/SIPDS/2018
dr. Utoyo Sunaryo, Sp. S 446/11/425.202/2016
dr. Utoyo Sunaryo, Sp. S 446/11/425.202/2016
Mohamad Sarifudin 446/100/425.202/2016
DR. YULLY WIDORETNO WULANSARI 446/50/425.202/2016

dr. Bazatulla Hia, Sp. B 445/0314/SIP.DS.1/423.104/2017


dr.adi widianto 503/398/SIP.DU.01/423.207/2016
AHMAD MUSTOFA 445/0875/SIP.DU.1/423.104/2018

dr. Anastasya Tyas, Sp. OG 445/0160/SIP.DS.1/423.104/2017


dr. Anastasya Tyas, Sp. OG 445/0160/SIP.DS.1/423.104/2017

dr. Bazatulla Hia, Sp. B 445/0314/SIP.DS.1/423.104/2017


dr. Bazatulla Hia, Sp. B 445/0314/SIP.DS.1/423.104/2017
dr. Catur Elvi, Sp.P 503/059/SIP.DS.03/423.207/2015
dr. Darmajo Kandinata, Sp.PD. FINASIM 503/208/SIP.DS.01/423.207/2016
DR. DEVVI RIASARI 503/031/SIP.DS.01/423.207/2016
DR. DIDIT ROESONO,SPKJ 445/0786/SIP.DS.3/423.104/2018
dr. Doshi Gurtino, Sp. OT 503/356/SIP.DS.01/423.207/2016

dr. Erny Distriandari, Sp.M 503/323/SIP.DS.01/423.2072016


DR. FARIED IRAWANTO 503/324/SIP.DS.01/423.207/2016
dr. Fitri Indahyanti, Sp.P 503/200/SIP.DS.03/423.207/2016
HAMZAH 445/0793/SIP.DS.1/423.104/2018
MOHAMMAD FERRY NUR ABADI 445/0818/SIP.DU.2/423.104/2018
dr. MOCH. HARRIES FRIJADIE 503/004/SIP.DS.01/423.207/2014
dr. Moh. Fauzi, Sp.OG 445/0620/SIP.DS.1/423.104/2017
dr. Moh. Zakki Kurniawan, Sp.JP 503/125/SIP.DS.02/423.207/2016
dr. Ninik Ambarwati, SP.A 503/007/SIP.DS.01/423.207/2014
dr. Pherenice Charisti, Sp. A 445/0616/SIP.DS.1/423.104/2017
dr. Pherenice Charisti, Sp. A 445/0616/SIP.DS.1/423.104/2017
dr. Raphael Gratiano, Sp. KK 503/321/SIP.DS.01/423.207/2016

dr. Rifta Yustiardi, Sp. B 503/060/SIP.DS.01/423.207/2015


RISQON NAFIAH 445/0985/SIP.DU.2/423.104/2018
SINTHA RESTUNINGWIYANI, DR. 503/327/SIP.DS.01/423.207/2016
SITI MARIA ULFAH 445/0168/SIP.DU.1/423.104/2017
STIAEDES 445/0138/SIP.DU.1/423.104/2017
dr. Wahyu Kusbianto, Sp.S 445/0159/SIP.DS.2/423.104/2017
WAYAN BUDI ARYAWAN 445/0945/SIP.DS.1/423.104/2018
dr. Yuning Sp. THT 445/0102/SIP.DS.1/423.104/2017
YUNITA FINDI AKSARI 445/0291/SIP.DU.1/423.104/2017
dr. Zainudin Zuhri, Sp.PD. FINASIM 445/0892/SIP.DS.1/423.104/2018

drg. Arini Eko Myangsih, Sp.Pros 503/328/SIP.DRG.01/423.207/2016


DRG. BAGUS TEGUH UTOMO 445/0312/SIP.DRGS.1/423.104/2017
DRG. BAGUS TEGUH UTOMO 445/0312/SIP.DRGS.1/423.104/2017
drg. Mei Yuniarti 503/309/SIP.DRG.01/423.207/2016
drg. Senda Widya Trihandayani 445/0739/SIP.DRG.1/423.104/2018
drg. Setiyawan 503/008/SIP.DRG.01/423.207/2014
drg. Suhartono, Sp.Ort. 445/0838/SIP.DRGS.1/423.104/2018

ACHMAD HANAFI 446/039/SIP.D/426.404/2016


dr. Ach Slamet,Sp.OG 446/045/SIP.Dspl/426.404/
dr. ALBERTI SHINTYA SARI 446/009/SIP.D/426.116/2017
BRAMA RACHMANTYO 446/008/SIP.Dspl/426.116/

dr. Djauhar K. D,Sp.OG 446/033/SIP.Dspl/426.404/


dr. M. Andrie Wibowo, Sp. OT 446/016/SIP.D.Spl/426.404
dr. Djauhar K. D,Sp.OG 446/033/SIP.Dspl/426.404/
IDAMA ASIDO ROHANA SIMANJUNTAK 446/045/SIP.D/426.116/2018
dr. Nanik Triana K, Sp. PD 446/008/SIP.Dspl/426.116/
SAIFUL ALAM 446/039/SIP.Dspl/426.404/
dr. Sarojo,Sp A 446/019/SIP.Dspl/426.404/
dr. Ach Slamet,Sp.OG 446/045/SIP.Dspl/426.404/
dr. ALBERTI SHINTYA SARI 446/009/SIP.D/426.116/2017
dr. Moh Ali Yusni, Sp.B 446/002/SIP.Dspl/426.404/
dr. Moh. Amarusmana, Sp. M 446/023/SIP.Dspl/426.404/
dr. M. Andrie Wibowo, Sp. OT 446/016/SIP.D.Spl/426.404

BRAMA RACHMANTYO 446/008/SIP.Dspl/426.116/


BRAMA RACHMANTYO 446/008/SIP.Dspl/426.116/

dr. Triandika,Sp.JP 446/019/SIP.Dspl/426.116/2018


dr. Erika Arys S., Sp. PD 446/020/SIP.Dspl/426.404/
dr. Hamna Fitriah, Sp. THT 446/010/SIP.Dspl/426.404/
ACHMAD HANAFI 446/039/SIP.D/426.404/2016
dr. Hari Widiono, Sp. KK 446/024/SIP.Dspl/426.404/
dr.H. Moh. Ilyas,Sp.B NOMOR : 446/026/SIP.Dspl/
dr. H. M Taufik,Sp.PD 446/018/SIP.Dspl/426.404/

dr. Nendyo Susilo, Sp. THT 446/025/SIP.Dspl/426.116/


NURIA DEVI MAHARANI 446/018/SIP.D/426.116/2018

RIZKA OKTAVIA ARIYANTI 446/081/SIP.D/426.116/2017


RIZKA OKTAVIA ARIYANTI 446/081/SIP.D/426.116/2017
RIZKI RAFIKA SARI 446/044/SIP.D/426.116/2018
SAIFUL ALAM 446/039/SIP.Dspl/426.404/
SAIFUL ALAM 446/039/SIP.Dspl/426.404/
dr. Utoyo Sunaryo, Sp. S 446/015/SIP.Dspl/426.404/
dr.H. Moh. Ilyas,Sp.B NOMOR : 446/026/SIP.Dspl/
dr. H. M Taufik,Sp.PD 446/018/SIP.Dspl/426.404/
dr. Satmoko Mommy N, Sp. S 446/001/SIP.Dspl/426.404/
dr.Supriadi,Sp.P 446/016/SIP.Dspl/426.404/
kRISNA PERDANA PUTRA 446/006/SIP.Dg/426.404/20
LINTANG NURINA 446/002/SIP.Dgl/426.116/2018

dr.H. Moh. Ilyas,Sp.B NOMOR : 446/026/SIP.Dspl/


dr. H. M Taufik,Sp.PD 446/018/SIP.Dspl/426.404/

dr. Hari Widiono, Sp. KK 446/024/SIP.Dspl/426.404/


IDAMA ASIDO ROHANA SIMANJUNTAK 446/045/SIP.D/426.116/2018

dr. Moh Ali Yusni, Sp.B 446/002/SIP.Dspl/426.404/

dr. M. Andrie Wibowo, Sp. OT 446/016/SIP.D.Spl/426.404

dr. Nendyo Susilo, Sp. THT 446/025/SIP.Dspl/426.116/


RANI FITRIA ANGGRAINI 446/024/SIP.Dspl/426.116/2018

dr. Sarojo,Sp A 446/019/SIP.Dspl/426.404/


dr. Satmoko Mommy N, Sp. S 446/001/SIP.Dspl/426.404/
dr.Supriadi,Sp.P 446/016/SIP.Dspl/426.404/
SAIFUL ALAM 446/039/SIP.Dspl/426.404/
dr. Triandika,Sp.JP 446/019/SIP.Dspl/426.116/2018
TRISNO FAJAR NURSANTO 446/020/SIP.Dspl/4.26.116/2018
dr. Utoyo Sunaryo, Sp. S 446/015/SIP.Dspl/426.404/
DR. VIDI PRASETYO UTOMO 446/046/SIP.D/426.116/2018

DEANTY AYU PUTRI ANGGRAENI, DR SIP - DS/49/424.072/2017

dr. Aisyah R Retnowulan, Sp. P SIP-DS/197/424.052/2015


ANDI RAHMANSYAH, DR.MM.KES. SIP-DU/105/424.052/2016
dr. Bambang Praseno A, Sp. B SIP-DS/18/424.072/2018
dr. Bazatulla Hia, Sp. B 445/0314/SIP.DS.1/423.104
dr. Broto Suwadji, Sp. OT SIP - DS/153/424.052/2014
dr. Budi Santoso, Sp. PD SIP - DS/10/424.052/2016

dr. Edy Mustofa, Sp.OG SIP.DS/01/424.052/2017

DR. FARIED IRAWANTO SIP-DS/21/424.072/2017

DR INKHUD MUAWANAH SIP-DU/054/424.072/2017

dr. Mohammad Kuntadi S H, Sp.OT, M.Kes, MMR SIP - DS/156/424.052/2014


dr. Laksitarini WMH, Sp. S SIP - DS/26/424.052/2016

H. MOCH MASYKUR SIP-DU/012/424.052/2017


dr. M. Zainun, Sp.P SIP - DS/01/424.072/2018
dr. MOCH. HARRIES FRIJADIE SIP-DS/26/424.072/2017

dr. Nurlaeli Supartini Indronoto,Sp.P SIP - DS/21/424.052/2016


dr. Oktavian P, Sp. A SIP-DS/186/424.052/2015
DR. RANI MAHARYATI SIP - DS/16/424.052/2016

DR. SISWA PURNOMO SIP-DU/090/424.072/2017


dr. Soeheriyanto, Sp.A SIP.DS/32/424.052/2016
MOCHAMAD NUR SULTAN SIP-DU/092/424.072/2017
drg. Andyka Yayan Setiawan 446/SIP-DRG/32/424.072/2018
drg. Siti Fatimah SIP-DRG/24/424.072/2018

dr. Maria Diah Zakiyah, Sp. OG 446/02/425.202/2016


NOVI RAHAYU ARIANTI 446/09/425.117/SIPDS/2018
ROBERT ONE DANIESHA MAHENDRA 446/05/425.117/SIPDS/201
dr. Abdul Hakim HS Kuddah, Sp. OG 446/42/425.202/2016
dr. Catur Prangga P, Sp. A 446/24/425.202/2016

dr. Maria Diah Zakiyah, Sp. OG 446/02/425.202/2016


MUHAMMAD NUR HUMAIDI ZULMI 446/04/425.117/SIPDU/2018
dr. Aminuddin, Sp. OG 446/43/425.202.2016
dr. Aminuddin, Sp. OG 446/43/425.202.2016

dr. Abdul Hakim HS Kuddah, Sp. OG 017.2/DINKES/IPDS/V/2015


MOHAMMAD ANWAR SANUSI 446/23/425.117/SIPDU/2017
DWI WAHYUNINGSIH 446/06/425.117/2017
dr. Sarojo,Sp A 446/26/425.202.2016
dr. HARINI RAHARDIYANTI 446/10/425.117/SIPDU/2018
dr. Hytriawan Posma P., Sp. OG 446/05/425.202/2016
dr. Maria Diah Zakiyah, Sp. OG 013.1/DINKES/IPDS/IV/2015
NOVI RAHAYU ARIANTI 446/10/425.117/SIPDS/2018
dr. Tjipto Adi, Sp. A 446/34/425.202/2016

FEBRY YASIN FACHRONI 446/041/SIP.D/426.116/2018


dr. H. Alam S. Hidayat, Sp. OG 446/015/SIP/DSpl/426.116/
MADE SUDERATA 446/038/SIP.Dspl/426.404/
dr.SIGIT ANTONI 446/4.046/426.102/2014
NI MADE MAYA PURNAMA WULANDARI 446/010/SIP.D/426.116/2018

dr. A. Ziadul HEM, Sp. OT 239/SK-PABOI/CJT/SB/X/2018


dr. A. Ziadul HEM, Sp. OT 239/SK-PABOI/CJT/SB/X/2018
ANANTO PRAMONO 446/040/SIP.D/426.404/201
BENNY KRISTANTO 446/019/SIP.D/426.404/201
DR. BETTY ARIYANTI 446/027/SIP.Dspl/426.116/2018
DEWI PUSPITORINI 446/031/SIP.Dspl/426.116/2018
dr. Fandi Agus Wibowo, Sp.THT-KL 446/019/SIP.Dspl/426.116/
FANTI NUR RUHANI 446/004/SIP.D/426.116/201
dr. Fauzijah Sri R, Sp. P 446/009/SIP.Dspl/426.116/
dr. Fauzijah Sri R, Sp. P 446/009/SIP.Dspl/426.116/
GUSTI PINDO ASA A 446/085/SIP.D/426.116/201
dr. H. Totok Mardiyanto, Sp.B 446/051/SIP.Dspl/426.404/
dr. Karinda Dwiworo, Sp. OG 446/003/SIP.Dspl/426.116/
dr. Karinda Dwiworo, Sp. OG 446/003/SIP.Dspl/426.116/
dr. Ketut Arie Suastawa, Sp. PD 446/022/SIP.Dspl/426.116/2018
dr. Komang Ayu R.Purnamaningsih, M.Sc, Sp.A 446/3.573/426.102/2014
dr. Komang Ayu R.Purnamaningsih, M.Sc, Sp.A 446/3.573/426.102/2014
LINA WAHYU INDAYATI 446/034/SIP.D/426.404/201

dr. Rizki Habibie, Sp. PD 446/044/SIP.Dpsl/426.404/


dr. Rizki Habibie, Sp. PD 446/044/SIP.Dpsl/426.404/

SYAHRUDI 446/026/SIP.D/426.116/201
SYAHRUDI 446/026/SIP.D/426.116/201
dr. H. Totok Mardiyanto, Sp.B 446/051/SIP.Dspl/426.404/

drg. Ajeng Arinda Prabawati 446/018/SIP.Dg/426.404/20


ALEX WILLYANDRE NUR PUJI SUWARJO 446/017/SIP.Dg/426.112/20

ANDRI RUSLY -
ANIS TRISNAWATI PUTRI SIP-DU/010/424.072/2018
EKA NASRUR MAULANA SIP-DS/47/424.072/2017
ESTI PURWANINGRUM SIP-DS/31/424.072/2017
FARIED IRAWANTO SIP-DS/45/424.052/2016
FAUZAN -
HAMZAH SIP-DS/25/424.072/2018
MEIDI FERDINAN -
dr. M. Zainun, Sp.P SIP-DS/31/424.072/2017
dr. Rifta Yustiardi, Sp. B SIP-DS/39/424.072/2017
dr. RIKE JEFF YUS JEFFI HABIBI SIP-DU/121/424.052/2016
RIRIN WIDYASTUTI SIP-DU/044/424.072/2017
dr. SANTOSO RAHARDJO, Sp.OG SIP-DS/19/424.072/2018
UTIN VARIANTINI -
dr. Wiratmono Rahmadi, Sp.S SIP-DS/03/424.052/2017
AMELIA RETNANI 446/016/SIP.DSPL/426.116/2018

dr. Catur Prangga P, Sp. A 446/020/SIP.Dspl/426.404/


dr. Catur Prangga P, Sp. A 446/020/SIP.Dspl/426.404/
dr. DENY HIDAYATI 446/019/SIP.D/426.116/2017
dr. Djauhar Kumala Dewa, Sp. OG 446/034/SIP.Dspl/426.404/
dr. Djauhar Kumala Dewa, Sp. OG 446/034/SIP.Dspl/426.404/
dr. Fandi Agus Wibowo, Sp.THT-KL 446/017/SIP.Dspl/426.116/
DR. HENNING WIJAYANTI 446/031/SIP.D/426.116/2017

NINA JULIANI,DR 446/045/SIP.D/426.404/2015

dr. Puti Lenggo Geni, Sp.OG NOMOR : 446/031/SIP.Dspl/


RANI FITRIA ANGGRAINI 446/006/SIP.Dspl/426.116/

dr. Vonny Mariany Deckert, Sp. A 446/025/SIP.Dspl/426.404/


dr. Vonny Mariany Deckert, Sp. A 446/025/SIP.Dspl/426.404/

drg. Vike Mei Diastutik 446/012/SIP.Dg/426.404/20

drg. Widya Dina Fitriani NOMOR : 446/018/SIP.Dg/42

CHANDRA GUNAWAN 446/028/SIP.D/426.116/201

dr. A. Ziadul HEM, Sp. OT 446/001/SIP.Dspl/426.116/2019


DR. ABRAAR HS KUDDAH, SPB, MSI 446/011/SIP.Dspl/426.404/
CHANDRA GUNAWAN 446/028/SIP.D/426.116/201
CHANDRA GUNAWAN 446/028/SIP.D/426.116/201

dr. Donny Rahadianto, Sp. OG 446/002/SIP. Dspl/426.116


dr. Fandi Agus Wibowo, Sp.THT-KL 446/016/SIP.Dspl/426.116/2017

dr. Fauzijah Sri R, Sp. P 446/010/SIP.Dspl/426.116/

GANDA KUSUMA 446/080/SIP.D/426.116/201


dr. Hj. Yessi R. Adi, Sp. OG 446/043/SIP.Dspl/426.404/

DR.ISLAH HARWITY ASTIKA 446/024/SIP.D/426.404/201

dr. Ketut Arie S., MSc., Sp. PD 446/009/SIP.Dspl/426.404/


dr. krisma oky diningtari 446/052/SIP.D/426.116/201

dr. Muhammad Reza, M. Biomed Sp. A 446/007/SIP.Dspl/426.404/


dr. Muhammad Reza, M. Biomed Sp. A 446/007/SIP.Dspl/426.404/

dr. Nanik Triana K, Sp. PD 446/029/SIP.Dspl/426.404/


dr. Nanik Triana K, Sp. PD 446/029/SIP.Dspl/426.404/
dr. Nendyo Susilo, Sp. THT 446/004/SIP.Dspl/426.116/
dr. Nikke Sp. M,m.Mkes 446/029/SIP.Dspl/426.404/

dr. Susanti Sugianto 446/002/SIP.D/426.116/201

dr. H. Totok Mardiyanto, Sp.B 446/004/SIP.Dspl/426.116/


dr.vikky satriyo wibowo 446/002/SIP..D/426.404/20

drg. Ade Erika 446/027/SIP.Dg/426.404/20

ADHI BAGUS SUBARKAH SIP-DS/57/424.072/2017


ALBERT LINARDY 446/SIP-DS/13/424.072/2018
dr. Anton Wibowo, M.Kes, Sp. A SIP-DS/189/424.052/2015
dr. Anton Wibowo, M.Kes, Sp. A SIP-DS/189/424.052/2015

MEIDI FERDIAN SIP-DU/119/424.072/2017


MEIDI FERDIAN SIP-DU/119/424.072/2017
NOVY, NGAN 446/SIP-DS/30/424.072/201
OKI HANDRIAWAN RINANTO 446/SIP-DS/31/424.072/201
dr. RIKE JEFF YUS JEFFI HABIBI SIP-DU/549/424.052/2014
dr. RIKE JEFF YUS JEFFI HABIBI SIP-DU/549/424.052/2014
dr.Ririn Wahyuning Tyas Tutik,Sp.A SIP-DS/56/424.072/2017
dr.Ririn Wahyuning Tyas Tutik,Sp.A SIP-DS/56/424.072/2017
dr.Ririn Wahyuning Tyas Tutik,Sp.A SIP-DS/56/424.072/2017
SHERA NADHILA SETYO BISONO SIP-DU/130/424.072/2017

dr. Zainudin Zuhri, Sp.PD. FINASIM 446/SPI-DS/43/424.072/2018


dr.ERYNA SRI MAHANANI SIP-DU/128/424.072/2017
dr.ERYNA SRI MAHANANI SIP-DU/128/424.072/2017

dr. Zainudin Zuhri, Sp.PD. FINASIM 446/SPI-DS/43/424.072/2018


MOHAMAD RIZKI HARISMAN SIP-DRG/27/424.072/2018
drg. Silfiyatus Zahroh SIP-DRG/183/424.052/2015
drg. Silfiyatus Zahroh SIP-DRG/183/424.052/2015
drg. Silfiyatus Zahroh SIP-DRG/183/424.052/2015

dr. Abdul Hakim HS Kuddah, Sp. OG 017.1/DINKES/IPDS/V/2015

dr. ADINDA DIANING SAWITRI 446/07/425.202/2016


dr. M. Andrie Wibowo, Sp. OT 446/04/425.202/2015
dr. Anis Eka Sukmadadari 446/30/425.117/SIPDU/2017
DR. CHOLIDA HANUM 446/78/425.202/2016
DR. CHOLIDA HANUM 446/78/425.202/2016
dr. CIK KAHADI 446/04/425.117/SIPDU/2018

dr. Hamna Fitriah, Sp. THT 446/05/425.117/SIPDS/2017


Indri Hadijah Trianto 446/36/425.117/SIPDU/2017
Indri Hadijah Trianto 446/36/425.117/SIPDU/2017
dr. Intan Sudarmaji, Sp. S 005.2/DINKES/IPDS/VI/2014
dr. ISNA HAJAR MURSYIDAH 446/76/425.202/2016
Mohamad Sarifudin 446/37/425.202/2016
drg. Wismardani Utami 446/38/425.202/2016
DR. YULLY WIDORETNO WULANSARI 446/51/425.202/2016
dr. CIK KAHADI 446/04/425.117/SIPDU/2018

drg. Wismardani Utami 446/38/425.202/2016

dr. Anton Wibowo, M.Kes, Sp. A SIP - DS/190/424.052/2011


CHANDRA LIONARDY SIP-DU/062/424/072/2018

dr. I Wayan Harnaya,Sp.B SIP - DS/52/424.072/2017


dr. Laksitarini WMH, Sp. S SIP - DS/28/424.052/2016
dr. Novi Hamzah, Sp.OT SIP - DS/36/424.052/2016
dr. Rudi, Sp. OG SIP - DS/160/424.052/2014

dr. Adyan Donastin, Sp.P SIP - DS/07/424.052/2017


dr. Anton Wibowo, M.Kes, Sp. A SIP - DS/190/424.052/2011
dr. Antonius Setiadi, Sp. B 446/SIP-DS/68/424.072/2018
dr. Benediktus Ursia, Sp. PD SIP - DS/17/424.052/2017
CHANDRA LIONARDY SIP-DU/062/424/072/2018
CHRISTIAN TANAYA SIP-DU/589/424.052/2015
DANANG ADITYA SIP-DU/093/424.072/2017

dr. Frangky Prilyanda, SpB.(RE) 466/SIP-DS/33/424.72/2018


dr. I Wayan Harnaya,Sp.B SIP - DS/52/424.072/2017
JOKO HERMAWAN SIP-DS/43/424.072/2017
dr. Laksitarini WMH, Sp. S SIP - DS/28/424.052/2016
dr. Novi Hamzah, Sp.OT SIP - DS/36/424.052/2016
dr. Nurhadi Sutanto, Sp. M SIP - DS/06/424.052/2017
dr. Rahadian, Sp. PD SIP-DS/22/424.072/2018

dr. Rudi, Sp. OG SIP - DS/160/424.052/2014


dr. Rudi, Sp. OG SIP - DS/160/424.052/2014

SONY GUNAWAN SIP-DU/148/424.072/2017


SUGIONO ADI SIP-DU/066/424.072/2017
dr. Suharto, Sp. Rad SIP-DS/27/424.072/2017
dr. Tutuk Wibowo, Sp. M SIP-DS/23/424.072/2017
VICTOR KRISTANTO SOERODJO SIP-DU/06/424.052/2016
YUNITA LEKSONO SIP-DS/36/424.072/2017
IQBAL SAYYIDIL AFFAN PURBA SIP-DU/066/424.072/2018
dr. Tutuk Wibowo, Sp. M SIP-DS/23/424.072/2017
drg. Anggraeni SIP-DRG/62/424.072/2017
drg. Dina Fakhriani 446/SIP-DRG/45/424.072/2018
drg. Fuad Al farisi Fajar S 446/SIP-DRG/02/424.072/2019
drg KURNIATUL ISNAINI SIP-DRG/17/424.072/2018
drg. Dina Fakhriani 446/SIP-DRG/45/424.072/2018

YUNITA LEKSONO SIP-DS/36/424.072/2017

dr. Aisyah R Retnowulan, Sp. P SIP - DS/138/424.052/2013


ALBERT LINARDY SIP-DS/182/424.052/2015
ALIEF YUDO ASTUTI, DR. SIP-DS/192/424.052/2015
Arianto Prabowo, dr. Sp.OT SIP-DS/181/424.052/2015
dr.Aries Subianto,SpP SIP-DS/34/424.072/2017
dr. Aziz Abdullah Sp. S SIP - DS/101/424.052/2012
DRG. BAGUS TEGUH UTOMO SIP-DS/24/424.072/2018
dr. Bambang Praseno A, Sp. B SIP - DS/17/424.052/2013
dr. Broto Suwadji, Sp. OT SIP-DS/153/424.052/2014

dr. Buih Amartiwi, Sp. KK SIP - DS/24/424.052/2016


dr. CICILIA DIAH PUSPITASARI, SpPD SIP-DS/09/424.052/2013
dr. CICILIA DIAH PUSPITASARI, SpPD SIP-DS/09/424.052/2013
DARMI SAPTO KURNIAWATI SIP-DU/025/424.052/2017
DAVID RUBIYAKTHO SIP-DS/10/424.072/2018
DEANTY AYU PUTRI ANGGRAENI, DR SIP-DS/06/424.052/2016
DR DEASY ALDA KUSALDI SIP-DU/488/424.052/2013
DIMAS SATRYO BAGUS SANTOSO SIP-DU/137/424.072/2017
dr. Eka Nasrur Maulana Sp. OG SIP-DS/175/424.052/2015
ESTI PURWANINGRUM 446 / SIP-DS / 34 / 424.072 / 2018
FAUZI SAMLAN SIP-DU/047/424.072/2017
FENDI FATKHURROHMAN GOZI SIP-DS/12/424.072/2018
FERDYAN RACHMAT EFENDI, S. KED SIP-DS/41/424.072/2017
FERDYAN RACHMAT EFENDI, S. KED SIP-DS/41/424.072/2017
dr. Ferry Limantara SIP-DU/139/424.072/2017
dr. Ferry Limantara SIP-DU/139/424.072/2017
GLADISH RINDRA SUKMADEWI SIP-DU/088/424.072/2017
dr. Gunawan Tri Rusharijanto, Sp. M SIP - DS/09/424.072/2017
HENY MARTINI 800/2506/302/2016
DR. IMAM SUBADI SIP-DS/14/424.072/2018
DR. IMAM SUBADI SIP-DS/14/424.072/2018
IRENE HERDIANTO SIP-DU/089/424.072/2017

dr. Jundi Agustoro, Sp. B SIP - DS/198/424.052/2015


dr. Moch. Cahyo, Sp. P SIP - DS/178/424.052/2015
MOHAMMAD ADIL BAKTIAR SIP-DU/094/424.072/2017
dr. Myra Edwina S, Sp.KJ SIP-DS/20/424.072/2018
dr. Novemi E, Sp. THT SIP - DS/19/424.052/2016
NOVIDA ARIANI SIP-DS/143/424.052/2014
DR. NOVITA SARI INDRAMEGA SIP-DU/059/424.072/2018
dr. Oktavian P, Sp. A SIP - DS/163/424.052/2014

DR. RANI MAHARYATI SIP-DS/03/424.052/2016


RETTY KHARISMA SARI SIP-DS/05/424.072/2018

dr. Roni S, Sp. OG SIP-DS/196/424.052/2015


SIENTIAWATI TJAHYONO SIP-DU/473/424.052/2013
SUGIONO ADI SIP-DU/048/424.072/2017
dr. Trijuni Andiharti, Sp. A SIP - DS/14/424.052/2017
dr. Vidia Eka Damayanti, Sp.PD SIP - DS/193/424.052/2015
VIEGAS GENANO SIP-DU/572/424.052/2015
dr. Yahya Irwanto, SpOG ( K ) Onk 094/1910/424.072/2018
YUNITA LEKSONO SIP-DS/39/424.052/2016
dr. Zainudin Zuhri, Sp.PD. FINASIM SIP-DS/165/424.052/2014

dr. Aisyah R Retnowulan, Sp. P SIP - DS/138/424.052/2013


ALBERT LINARDY SIP-DS/182/424.052/2015
ALIEF YUDO ASTUTI, DR. SIP-DS/192/424.052/2015

Arianto Prabowo, dr. Sp.OT SIP-DS/181/424.052/2015


dr.Aries Subianto,SpP SIP-DS/34/424.072/2017
dr. Aziz Abdullah Sp. S SIP - DS/101/424.052/2012

dr. Bambang Praseno A, Sp. B SIP - DS/17/424.052/2013


dr. Broto Suwadji, Sp. OT SIP-DS/153/424.052/2014
dr. Budi Santoso, Sp. PD SUP-DS/10/424.052/2016
dr. Budi Santoso, Sp. PD SUP-DS/10/424.052/2016
dr. Buih Amartiwi, Sp. KK SIP - DS/24/424.052/2016
dr. CICILIA DIAH PUSPITASARI, SpPD SIP-DS/09/424.052/2013

DAVID RUBIYAKTHO SIP-DS/10/424.072/2018


DEANTY AYU PUTRI ANGGRAENI, DR SIP-DS/06/424.052/2016

dr. Eka Nasrur Maulana Sp. OG SIP-DS/175/424.052/2015

ESTI PURWANINGRUM 446 / SIP-DS / 34 / 424.072 / 2018

FENDI FATKHURROHMAN GOZI SIP-DS/12/424.072/2018


FENDI FATKHURROHMAN GOZI SIP-DS/12/424.072/2018
FERDYAN RACHMAT EFENDI, S. KED SIP-DS/41/424.072/2017
FERDYAN RACHMAT EFENDI, S. KED SIP-DS/41/424.072/2017
GLADISH RINDRA SUKMADEWI SIP-DU/088/424.072/2017
dr. Gunawan Tri Rusharijanto, Sp. M SIP - DS/09/424.072/2017
HENY MARTINI 800/2506/302/2016
dr. Hery Susilo, Sp. B (K) Onk 094/1909/424.072/2018
DR. IMAM SUBADI SIP-DS/14/424.072/2018

dr. Moch. Cahyo, Sp. P SIP - DS/178/424.052/2015

MOHAMMAD ADIL BAKTIAR SIP-DU/094/424.072/2017


dr. Novemi E, Sp. THT SIP - DS/19/424.052/2016
NOVIDA ARIANI SIP-DS/143/424.052/2014
DR. NOVITA SARI INDRAMEGA SIP-DU/059/424.072/2018
dr. Oktavian P, Sp. A SIP - DS/163/424.052/2014

NURI Y RIZKIYATI, DRG SIP-DRG/33/424.072/2017

DR. RANI MAHARYATI SIP-DS/03/424.052/2016


RETTY KHARISMA SARI SIP-DS/05/424.072/2018

dr. Roni S, Sp. OG SIP-DS/196/424.052/2015

SUGIONO ADI SIP-DU/048/424.072/2017


dr. Trijuni Andiharti, Sp. A SIP - DS/14/424.052/2017

dr. Vidia Eka Damayanti, Sp.PD SIP - DS/193/424.052/2015

dr. Yahya Irwanto, SpOG ( K ) Onk 094/1910/424.072/2018


YUNITA LEKSONO SIP-DS/39/424.052/2016
dr. Zainudin Zuhri, Sp.PD. FINASIM SIP-DS/165/424.052/2014
DRG. BAGUS TEGUH UTOMO SIP-DS/24/424.072/2018
DRG. BAGUS TEGUH UTOMO SIP-DS/24/424.072/2018
dr. Budi Santoso, Sp. PD SUP-DS/10/424.052/2016
drg. Dinda Catur SIP-DRG/175/424.052/2015
FERY ANITA SOFIANA SIP-DS/30/424.072/2017
NURI Y RIZKIYATI, DRG SIP-DRG/33/424.072/2017
drg. Suryadi Wijaya, Sp. KG, SIP-DS/34/424.052/2016
drg. Suyudono SIP-DRG/31/424.072/2017
dr. Budi Santoso, Sp. PD SUP-DS/10/424.052/2016
drg. Dinda Catur SIP-DRG/175/424.052/2015

DANANG SAKSONO, DR 446/SIP-DS/29/424.072/2018


DANANG SAKSONO, DR 446/SIP-DS/29/424.072/2018
RR. INDRI WAHYUNI, DR 446/SIP-DS/58/424.072/2018
dr. Moh Nurdin Zuhri,Sp.M SIP-DS/35/424.072/2017
dr. Moh Nurdin Zuhri,Sp.M SIP-DS/35/424.072/2017
dr. Moh Nurdin Zuhri,Sp.M SIP-DS/35/424.072/2017
dr. Nikke Sp. M,m.Mkes SIP-DS/37/424.072/2017
dr. Nikke Sp. M,m.Mkes SIP-DS/37/424.072/2017

BAYU NIZAR FATHONI SIP-DU/16/424052/2016

DAVID RUBIYAKTHO SIP-DS/26/424.072/2018


dr. I Dewa Made Widi,Sp.PD SIP-DS/22/424.052/2016
dr. Edmoon Liwan, SpOg, M.Kes SIP-DS/13/424.052/2016
dr. Endyt Purwandari, Sp.A SIP-DS/50/424.052/2016
ERVAN DANI HANDOYO SIP-DU/045/424.072/2018
dr. MAS ULIL ALBAB SIP-DU/164/424.072/2017
MUHAMMAD AFIFUDIN SIP-DU/163/424.072/2017
dr. Muhammad Robby Cahyadi,Sp.B SIP-DS/15/424.072/2018
NUR RAHMAWATI MUNTASHOFIL LAILY SIP-DU/071/242.072/2018
dr. Sigid Djuniawan, Sp.B SIP-DS/29/424.052/2016

AHMAD FARID WAJDI 446/SIP-DS/59/424.072/2018


dr. Aisyah R Retnowulan, Sp. P SIP-DS/27/424.072/2018
dr. Aisyah R Retnowulan, Sp. P SIP-DS/27/424.072/2018
KIAJENG WINDA NINGRUM P 446/SIP-DS/69/424.072/2018
NOVIDA ARIANI SIP-DS/23/424/072/2018
NYOMAN INDRA BAYU 446/SIP-DS/70/424.072/2018

VIDIA EKA DAMAYANTI 466/SIP-DS/32/424.072/201


ERVAN DANI HANDOYO SIP-DU/045/424.072/2018
MUHAMMAD FARIZ 446/SIP-DS/45/424.072/2018
drg. Aprilia Fitri Kartika SIP-DRG/26/424.072/2017

MUHAMMAD FARIZ 446/SIP-DS/45/424.072/2018


Masih Bertugas atau Tidak Bertugas Tanggal Mulai Terhitung (TMT) Tidak Surat Ijin Praktik
(Terdaftar dalam SK Kepegawaian RS) Bertugas
TIDAK BERTUGAS 15-Sep-19 SIP-DU/010/424.072/2018
- SIP-DS/47/424.072/2017
- SIP-DS/31/424.072/2017
- SIP-DS/45/424.052/2016
- -
TIDAK BERTUGAS 25-Feb-18 SIP-DS/25/424.072/2018
- -
TIDAK BERTUGAS 10-May-18 SIP-DS/31/424.072/2017
- SIP-DS/39/424.072/2017
- SIP-DU/121/424.052/2016
- SIP-DU/044/424.072/2017
- SIP-DS/19/424.072/2018
- -
TIDAK BERTUGAS 3-Sep-17 SIP-DS/03/424.052/2017
Habis Masa Berlaku SIP (Tanggal, Bulan & Surat Keterangan Dalam Proses Pengurusan Surat Tugas Dinas Kesehtan (Tanggal,Bulan
Tahun) (tanggal, bulan, tahun) & Tahun)

7/15/2023 0:00
6/7/2019 0:00

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Surat Tugas Direktur RS (Tanggal,Bulan &
Tahun)

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