Dokter RS Grobogan

LAPORAN DATA IZIN PRAKTIK DOKTER DI FASILITAS KESEHATAN BPJS KESEHATAN KANTOR CABANG KUDUS

NO

NAMA RUMAH SAKIT

1 RS PKU MUIHAM MUIHAMMAD MADIY IYAH AH &U'U&

NAMA DOKTER

dr. dr. Rejek Rejekii Anda Andayan yanii Raha Rahayu, yu, Sp.P Sp.PD D dr. (u)i*+, Sp.PD dr. Ia Sany+*+, Sp.' dr. R. -i*+ Mahendra ka)apu*ra, Sp.' dr. Mu Muhaad 'a 'ahri /i /irdau)i, Sp Sp.'

NIK KTP

NO SIP

337404!0"#70000 331#$%#"14%DS%03%44!,1%01#!%0%$017 331#1"0!0$730000 331#$%#"14%DS%01%44!.1%013%0%$017 33$1111307!0000 331#$%#"14%DS%0$%44!.1%0073%03%$017 337403$70$"00000 331#$%#"14%DS%01%44!.1%0$"#%11%$01

dr. /irdau) ahyudi, Sp.&

331#$%#"14%DS%01%44!.1%01!4%0"%$017 337411$$077$000# 331#$%#"14%DS%0$%44!.1%00$%03%$017

dr. Ad Adi Ra Raha2an, Sp Sp.&

34710#0!07"#0001 331#$%#"14%DS%0$%44!,1%10!%1$%$01#

dr. /ria +5rian)yah, Sp.&

331#$%#"14%DS%01%44!,1%0$44%10%$017 33740$"044"000$ 331#$%#"14%DS%01%44!,1%0311%1$%$01

dr. 6ai Sea2an, Sp.A dr. Andre2 Si*epu, Sp.A, M.Ke) dr. /a+an, Sp.M dr. Dea)y Media2a*y, Sp.8H89K( dr. ur /aiah, Sp.Rad dr. Ma Mau:ia e eny Yu Yu)upriha)*u, Sp Sp An An dr;. (u:u ikh:a*ur Ri<=ah dr. Kun Muda:ia*ur Puj+ (ak)+n+ dr. M Ari< Rida dr. Han)en dr. Yu:i) Muk*a?ah dr. A:/aui Sya)udin

331#$%#"14%DS%01%44!,1%0$47%10%$017 33740"1101007# 331#$%#"14%DS%03%44!.1%01#$%0"%$01 331#$%#"14%DS%0$%44!,1%010%0%$017 33$114710#7"0003 331#$%#"14%DS%03%44!,1%0#%0#%$01# 331#$%#"14%DS%03%44!.1%0$#0%10%$017 331#17#01"!000$ 331#$%#"14%D&U%01%44!,1%01%01%$01# 331#174"07"4000$ 331#$%#"14%DU%01%44!,1%0$#%0$%$01 33$107$311"70001 331#$%#"14%DU%03%44!,1%103%0"%$014 331#1"$"0"7!0001 331#$%#"14%DU%01%44!,1%0!"%0"%$014 33740$1#1$"4000" 331#$%#"14%DU%03%44!,1%0"0%0"%$01# 33$114#0$"40001 331#$%#"14%DU%01%44!,1%040%0$%$01 33741#0107"30004 331#$%#"14%DU%01%44!,1%0$44%10%$01

dr. i2in ijayan

331#1!440!00003 331#$%#"14%DU%03%44!,1%0131%07%$01 331#140$!10001 331#$%#"14%DU%03%44!,1%01$1%0%$01

dr. M Ha@i@u::ah

331#100$01"70001 331#$%#"14%DU%0$%44!.1%0$4"%10%$017

dr. Sa) In)ana

dr. Hu)+d+ Kurnia2an

331#$%#"14%DU%0$%44!.1%0$0!%0!%$017

dr. i::y A;un; Ru)*ya2an dr. dr. A?< Ian Hidaya*

331#$%#"14%DU%0$%44!.1%0$#1%10%$017 331#$%#"1 4%DU%01%4 4!.1%0$4% 10%$017

NO

NAMA RUMAH SAKIT

$ RS HA'I'U((AH

NAMA DOKTER

dr. Dyah A;u)na , Sp.PD

NIK KTP

331#0700"73000$

dr Yu)u< 'enny Rai) , Sp.' dr. -i*+ Mahendra ka)apu*ra, Sp.' dr. /irdau) ahyudi, M.Ke), SP.& dr. Ia Kunia2an , Sp.& dr. H. 6ai Sea2an , Sp.A

331#$%#"1"3%DS%0$%44!,1%1$4%10%$014 331#$%#"1"3%DS%03%44!.1%0$0"%0!%$017

337403$70$"0000$ 331#$%#"1"3%DS%03%44!,1%003"%03%$017 337411$$077$000#

331#$%#"1"3%DS%01%44!.1%001%03%$017

33$104$17!0003 331#$%#"1"3%DS%03%44!,1%01"1%0!%$01 33740$"044"000$

331#$%#"1"$%DS%03%44!,1%0$!3%11%$01

dr. Rea Sa*ri+, Sp.M

331#130711"30003 331#$%#"1"3%DS%03%44!,1%03"%03%$01#

dr. Har*+n+   dr. Ui /a*a2a In*ahiyah

3374060805680003

dr. (inah Suar2inin; ru

331#07#!1$7"000$ 331#$%#"1"3%DU%01%44!,1%0013%01%$01"

dr. Dian Yu:iani

331#0"#407""0003 331#$%#"1"3%DU%0$%44!,1%030%0$%$01

dr. 'udi Ba U*++ dr. 6ukhir+h dr. r)i Ku)2ardani 3 RS PRMA8A 'UDA

NO SIP

331#$%#"1"3%DU%03%44!,1%0$37%10%$01 3310$#104"30003 331#$%#"1"3%DU%03%44!,1%010%0%$01

331#$%#"1"3%DU%03%44!.1%01!7%0"%$017 1"1$01#410700003 331#$%#"1"3%DU%03%44!.1%01"1%07%$017 331#$%#"1"3%DU%03%44!.1%000%01%$01"

dr. A:?an, Sp. 8

331#13$00#4!000$ 331#$%#"114%DS%01%44!.1%0310%1$%$01 331#13011"30001 331#$%#"114%DS%0$%44!.1%03#%0$%$01

dr. Yu)u< An*+ni, Sp.&

331311$71$77000$ 331#$%#"114%DS%01%44!,1%11!%10%$014

dr. H. U*++ DS, Sp.&

dr. Ma)yudi Su@a;iy+, Sp.&

331#$%#"114%DS%01%44!.1%01!$%0"%$017

dr. Riki Adi*ya 'ahrudin, Sp.&

331#$%#"114%DS%0$%44!.1%000$%01%$01"

dr. H. Muhadjir, Sp.A dr. H. A; u) Kurnia, Sp.PD

331#$%#"114%DS%01%44!.1%0$"3%11%$01 337411430"710003 331#$%#"114%DS%$%44!,1%00"1%03%$017 331#13170"3000$ 331#$%#"114%DS%0$%44!.1%00"#%03%$017

dr. Sri Puji (e)*ari, Sp.PD

331#13#$077$000 331#$%#"114%DS%0$%44!.1%003#%03%$017

dr. Hj. A; u)na U:
dr. H. Mar)+n+ Maryadi, Sp.PD dr. Ari) B+k+ Pur2an*+, Sp.PD dr. Hj. A)anah &+i, Sp.KK dr. H. Ha)yi, Sp.S

331#$%#"114%DS%0$%44!.1%0037%03%$017 331#130#073000# 331#$%#"114%DS%03%44!,1%0174%0!%$01 337407430340001 331#$%#"114%DS%03%44!,1%0"%0%$01# 33740!1004#0001 331#$%#"114%DS%0$%44!.1%00$#%0$%$017

dr. H. 8+ni Pur2iran*+n+, Sp.'

331#1311107$000$ 331#$%#"114%DS%$%44!,1%0331%1$%$017 331#130"0#10004 331#$%#"114%DS%0$%44!.1%017!%0!%$01

dr. Prihadi Ia, Sp.'

34710!1!0!4!0001 331#$%#"114%DS%0$%44!.1%000$%01%$017

dr. H. di Mu:yan*+, Sp.S

NO

NAMA RUMAH SAKIT

NAMA DOKTER

NIK KTP

NO SIP

dr. >hri)na Indraja, Sp.M

331#131#104!0001 331#$%#"114%DS%0$%44!.1%010%04%$017 33740470"!000# 331#$%#"114%DS%03%44!,1%00"%03%$017

dr. Raha)ari Yan Anan*a, Sp.M

331#13#07"0004 331#$%#"114%DS%0$%44!,1%074%0%$014

dr. 8ri)ih+n+ , Sp.M

331#$%#"114%DS%01%44!.1%0$3!%10%$01 3374074$0400001 331#$%#"114%DS%0$%44!,1%0$4$%10%$01

dr. S+ei*r+ Mar*+dihardj+, Sp.'

dr. (ie (i:iyani, Sp.K/R dr;. Sya)u: Ari?n A dr;. Arian Darpi*+ dr;. Au:iya Raha dr. 8arn+, Sp.KB dr. R+na Yu:ia, Sp.Rad dr. Indah Bu:iana, Sp.P dr. Id+n; Se*y+ Hu)+d+, Sp.An dr. Yu)riani, Sp.An dr. Mau:ia eny Yu)upriha)*u, Sp.An dr. Dyah Kri)na Raha2a, Sp.PK dr. H Ian San*+)a, M.Ke) dr. indari dr. Har*ak dr. '+edi Sea2an dr. 8ik ahyunin;)ih dr. Rini Ariyan dr. Mei Har*u dr. H Henny Su*ri)n+ dr. 5ika A;u)na dr. Dja*ik+ dr. Her:ina Pra)*yanin;)ih (e)*ari dr. inuk Supriyan dr. Mei:ina dr. (ei:ia /i@riana)ari dr. Syukr+n >ha:i dr. Rina Karni

331#$%#"114%D&U%01%44!,1%01$#%0#%$017 331!070$0"!000$ 331#$%#"114%D&U%01%44!.1%00!#%04%$017 331#$%#"114%D&U%01%44!.1%0$$%10%$017 331#13070!#70001 33#1$%#"114%DS%0$%44!.1%00"3%$017 337$0##$07"0007 331#$%#"114%DS%0$%44!,1%007%03%$017 331#$%#"114%DS%0$%44!,1%01$#%0%$01 337$01$007##0004 331#$%#"114%DS%0$%44!.1%017%0!%$01 1703001073000$ 331#$%#"114%DS%03%44!.1%034%0$%$01 331#$%#"114%DS%0$%44!.1%0$4!%10%$017 331#$%#"114%DS%03%44!.1%01$7%0#%$017 331#13010#000 331#$%#"114%DU%01%44!,1%01$%0%$01 331#13#004"0001 331#$%#"114%DU%0$%44!,1%0#0%03%$01 331#13#00"70004 331#$%#"114%DU%0$%44!,1%0#!%03%$01 331#131!1$740004 331#$%#"114%DU%01%44!,1%0170%0!%$01 331#13304"0004 331#$%#"114%DU%01%44!.1%0$$!%10%$01 331#04711$7000" 331#$%#"114%DU%0$%44!,1%0$#1%10%$01 331#134$0#74000$ 331#$%#"114%DU%01%44!,1%0$14%0!%$01 331#13$104#7000# 331#$%#"114%DU%01%44!,1%0$1"%10%$01 331#$%#"114%DU%01%44!,1%0$3!%10%$017 331#130110710001 331#$%#"114%DU%0$%44!,1%01#!%0!%$01 331#100$"70004 331#$%#"114%DU%01%44!,1%01#$%0#%$017 331#13#07"#000# 331#$%#"114%DU%01%44!,1%01#%0%$017 $17$01#$0#"#0001 331#$%#"114%DU%01%44!,1%071%03%$01 331#13#70$"!0001 331#$%#"114%DU%01%44!,1%070%03%$01 331#131007!0000$ 331#$%#"114%DU%01%44!,1%01$$%0%$01 331#13104"1000 33.1#$%#"114%DU%01%44!.1%0$03%0!%$01

NO

NAMA RUMAH SAKIT

NAMA DOKTER

dr. M Aria +5ian*+ dr. Bear+:ine S*e::a -ania (ay dr. M Ai 8au?C urahan

331#$%#"114%DU%0$%44!.1%0##%03%$01 337407#70#!00001 331#$%#"114%DU%0$%44!.1%03$4%1$%$01

dr M R+?C An2ar dr. 8e;uh Prian*+n+, Sp.S

331014$10$700001 331#$%#"111%DS%01%44!.1%0301%11%$01

dr. D2i Ha)*u, Sp.A dr. Yu:i 'udi ja*ik+, Sp.'

331#13#70!#30001 331#$%#"111%DS%01%44!.1%0$$1%10%$01 331!07130770000 331#$%#"111%DS%01%44!.1%01%01%$014

dr. Prihadi Ia S, Sp.'

34710!1!0!4!0001 331#$%#"111%DS%01%44!.1%0001%01%$017

dr indanin;)ih

RS PA8 I RAHAY U

NO SIP

331#$%#"114%DU%01%44!.1%03$"%1$%$017 33$!0"1!0"!0000" 331#$%#"114%DU%01%44!.1%01$%0%$017 331#07401!1000$ 331#$%#"114%DU%01%44!.1%0$0%0!%$017 331#131$07!10001 331#$%#"114%DU%01%44!.1%0$07%0!%$017

dr. R+?k Adnan

4

NIK KTP

331#030711!00001 331#$%#"114%DU%0$%44!.1%01!%0!%$01 331#130103!1000 331#$%#"114%DU%01%44!.1%0$$#%10%$01

dr. An; ;a Hera2an, Sp.'

33740$0411"10007 331#$%#"111%DS%0$%44!.1%$!!%1$%$013

dr. Andre2 R+@er* Diy+, Sp.'S

337403$403"0000 331#$%#"111%DS%0$%44!.1%040%03%$01#

dr. (ua) (i:ik , Sp.PD

337403$1030001 331#$%#"111%DS%0$%44!.1%0$71%11%$01

dr. Mar)+n+ Mariadi, Sp.PD

331#130304470001 331#$%#"111%DS%01%44!.1%003%03%$017

dr. 'a@an; Pudjian*+, Sp.PD

33741#$10300001 331#$%#"111%DS%0$%44!.1%010"%0%$01

dr. R+@er* Sudir;a , Sp.PD

317301$!11"0001$ 331#$%#"111%DS%01%44!.1%073%0%$01#

dr. Arie) Har*+*+, Sp.&

337$04040470003# 331#$%#"111%DS%03%44!.1%0107%04%$017

dr. Ani*a Ra*na Daayan, Sp.&

331#$%#"111%DS%03%44!.1%0$41%10%$017

dr. (un;;uk He:en A:?an 8anjun;, Sp.&

337$04$"1$"3000 331#$%#"111%DS%01%44!.1%0044%03%$017

dr. ahyu Ra*na M, Sp.M

33741041037$000$ 331#$%#"111%DS%03%44!.1%004#%03%$017

dr. A:5in, Sp.M

337403140""3000$ 331#$%#"111%DS%44!.1%010"%04%$017

dr. A)anah &h+i, Sp.KK

337407430340001 331#$%#"111%DS%0$%44!.1%0%0%$01#

dr. M air 6u@aidi, Sp.8

331401$0107000# 331#$%#"111%DS%0$%44!.1%0111%0%$01

dr. D2i An*+n+, Sp.8H8

33740$03040001 331#$%#"111%DS%03%44!.1%0300%11%$01

dr. Kri)na Puji Rahayu, Sp.Rad

331#0"70#770001 331#$%#"111%DS%01%44!.1%0!4%0!%$01#

dr;. Ie Kri) iak)+n+

331#$%#"111%D&U%01%44!,1%074%0%$01#

dr. Suhar*+n+, Sp.An

337$0#$"04"0001 331#$%#"111%DS%01%44!,1%1$!%11%$014

dr. Dyah Kri)na R, Sp.PK

331#13$0371000# 331#$%#"111%DS%0$%44!,1%0#$%03%$01#

NO

NAMA RUMAH SAKIT

NAMA DOKTER

RSI PURDADI

dr Diyan Raha2a, Sp.K /R

331710#10"40007 331#$%#"111%DS%03%44!.1%0071%03%$017

dr. Sunaria, M.Ke)

331#130"0#4000# 331#$%#"111%DU%01%44!.1%0$$0%10%$01

dr. 8ri Si)2a, M.Ke)

331#134!0#000 331#$%#"111%DU%01%44!.1%00$0%0$%$017

dr. -ir;inia Maria >, MM

337$0#1117000 331#$%#"111%DU%01%44!,1%01#3%0#%$017

dr. Da5id Sea2an

337$040!0"0003 331#$%#"111%DU%01%44!,1%071%0%$01#

dr. &una2an Sapu*ra

33041"1111"#0001 331#$%#"111%DU%01%44!,1%01!"%0"%$017

dr. >ahy+ 'udi U*++

331#0"$00"7$000$ 331#$%#"111%DU%01%44!,1%001!%0$%$017

dr. 8+i Ardian*+

331104$004"0001 331#$%#"111%DU%01%44!,1%00$1%0$%$017

dr. Deddy Sea2an 

3$7310$00#""0001 331#$%#"111%DU%01%44!,1%0$4$%10%$017

dr. 'a@an; Pudjijan*+, Sp.PD

331#$%#"111%DU%01%44!,1%0!%0#%$01 331140131017#70 331#$%#"114%DS%03%44!,1%010!%0%$01

dr. 8+ni Pur2iran*+n+, Sp.'

3311101310$"30 331#$%#"114%DS%03%44!,1%01"0%0!%$01

dr. H Muh Muhadjir Sja@i, Sp.A

3311$013104"#"0 331#$%#"114%DS%0$%44!,1%0$"4%11%$01 33$1$01$14001!"0 331#$%#"114%DS%0$%44!,1%101%0"%$014 33113013170704"0 331#$%#"114%DS%0$%44!,1%007!%03%$017 3311103$1#101!10 331#$%#"114%DS%03%44!,1%03%0$%$01

dr. Kurnia D2i A)*u, Sp.A dr. Arie) Har*+*+, Sp.& dr. A:?an Mar*hunu), Sp.8 dr. Yu)riani Sp.An, M.Ke) dr. Diyan Raha2a, Sp.K/R dr. R+na Yu:ia, Sp.Rad dr. Id+n; Se*y+ Hu)+d+, Sp.An dr. Sidik San*+)+, MM dr;. Sya)u: Ari?n A;u)*a dr. ur
NO SIP

33111$!07"$0011 331#$%#"111%DS%03%44!.1%0$7$%11%$01

dr. Ikke Kri) iak)+n+ #

NIK KTP

dr Indah Bu:iana, Sp.P

RSUD DR R SDBA8I SM dr. A;u)ana2a U:
33$1#01$140"3#40 331#$%#"114%DS%0$%44!,1%033%0$%$01 33$10"31710#00 331#$%#"114%DS%0$%44!,1%0070%03%$017 33$1#03317074"0 331#$%#"114%DS%03%44!,1%0077%03%$017 3311#0131013$00 331#$%#"114%DS%03%44!,1%0177%0!%$01 33111003170$"!30 331#$%#"114%DU%01%44!.1%00$!%03%$017 3#1$100$17131310 331#$%#"114%D&U%0$%44!.1%01$%0#%$017 33$1100$111"$0 331#$%#"114%DU%01%44!.1%0$7%0$%$01 33$11003100$4#0 331#$%#"114%DU%03%44!.1%0#1%03%$01 33$11001131$!100 331#$%#"114%DU%01%44!.1%00$1%01%$01" 331110011414$410 331#$%#"114%DU%0$%44!.1%137%11%$014 33$1100$171303#0 331#$%#"114%DU%01%44!.1%0173%07%$013 331#$%#"111%DS%01%44!.1%00"0%03%$017 33$1$01$14001!"0 331#$%#"111%DS%01%44!.1%0"1%07%$014

NO

NAMA RUMAH SAKIT

NAMA DOKTER

dr. An;;a Hera2an, Sp.' dr. S+ei*r+ MD, Sp.' dr. 8+ni Pur2iran*+n+, Sp.' dr. A;u) Kurnia, Sp.PD dr. Ari) B+k+ Pur2an*+, Sp.PD dr. 'a@an; Pudjijan*+, Sp.PD dr. Sri Pudji (e)*ari, Sp.PD dr;. Pra*+n+ Aji Sar+)+

NIK KTP

NO SIP

33740$0411"10007 331#$%#"111%DS%01%44!.1%$!"%1$%$013 331#131#104!0000 331#$%#"111%DS%01%44!.1%00!"%04%$017 331#130"0#10004 331#$%#"111%DS%01%44!.1%017"%0!%$01 331#13170"3000$ 331#$%#"111%DS%01%44!.1%00"4%03%$017 331#130#0730000 331#$%#"111%DS%01%44!.1%031%0$%$01 33741#$10300001 331#$%#"111%DS%01%44!.1%0107%0%$01 331#13#$077$000 331#$%#"111%DS%01%44!.1%0034%03%$017 331#$%#"111%D&U%01%44!.1%0$10%0!%$01

dr;. Pria Ayu (i)*riyani

331#$%#"111%DS%01%44!.1%033$%1$%$017

dr. Sakina A:?a, Sp.KB

331#$%#"111%DS%1%44!.1%001%01%$01"

dr. 8arn+, Sp.KB dr. Puryan*+, Sp.M dr. Rakha)ari Yan Anan*a, Sp.M dr. Rea Sa*ri+, Sp.M

331#13070!#70001 331#$%#"111%DS%01%44!.1%00"$%03%$017 331#$%#"111%DS%01%44!.1%01#%0!%$01 331#13#07"0004 331#$%#"111%DS%01%44!.1%073%0%$014 331#130711"30003 331#$%#"111%DS%01%44!.1%03%03%$01#

dr. Ani*a Ra*na Daayan, Sp.&

331#$%#"111%DS%01%44!.1%0$40%10%$017

dr. Arie) Har*+*+, Sp.&

331#$%#"111%DS%01%44!.1%007"%03%$017

dr. Yu)u< An*+ni, Sp.&

331#$%#"111%DS%01%44!.1%133%11%$014

dr. Riki Adi*ya 'ahrudin, Sp.&

331#$%#"111%DS%01%44!.1%0001%01%$01"

dr. A:?an Mar*hunu), Sp.8 dr. M air 6u@aidi, Sp.& dr. R+na Yu:ia, Sp.Rad dr. Arie Ku)uanin;ru, Sp.Rad dr. Diyan Raha2a, Sp.K/R dr. (ie (i:iyani, Sp. K/R dr. di Mu:yan*+, Sp.S dr. Ha)yi, Sp.S dr. Ahadi Ian San*+)+, Sp.8H8 dr. Dea)y Media2a*y, Sp.8H8 dr. Dyah Kri)na R, Sp.PK dr. Id+n; Se*y+ Hu)+d+, Sp.An dr. Yu)riyani, Sp.An

3311103$1#101!10 331#$%#"111%DS%01%44!.1%11$%1$%$01# 331#$%#"111%DS%01%44!.1%0110%0%$01 33$1#03317074"0 331#$%#"111%DS%01%44!.1%007#%03%$017 331#$%#"111%DS%01%44!.1%00!3%04%$017 331710#10"40007 331#$%#"111%DS%01%44!.1%00!%03%$017 3374074$0400001 331#$%#"111%DS%01%44!.1%0$41%10%$01 331#1311107$000$ 331#$%#"111%DS%1%44!.1%0330%1$%$017 33740!1004#0001 331#$%#"114%DS%01%44!.1%00$4%0$%$017 331#$%#"111%DS%01%44!.1%0003%01%$017 331#$%#"111%DS%01%44!.1%001#%0$%$017 331#13$0371000# 331#$%#"111%DS%01%44!.1%0#1%03%$01# 3311#0131013$00 331#$%#"111%DS%01%44!.1%017#%0!%$01 33$1#01$140"3#40 331#$%#"111%DS%01%44!.1%0!!%10%$01#

NO

NAMA RUMAH SAKIT

NAMA DOKTER

dr. Mau:ia neny Yu)upriha)*u, Sp.An dr. 'e:a 'a;u) Sea2an dr. >ar+:ine S*e::a -ania (ay dr. /arida Ariyani dr. Harkak dr. Heran*+ Y+hane) 'eran dr. (ak)i Hiyu Pra2i

NIK KTP

NO SIP

331#$%#"111%DS%01%44!.1%0100%04%$017 331#$%#"111%DS%01%44!.1%0113%04%$017 337407#70#!00001 331#$%#"111%DS%01%44!.1%03$3%1$%$01 331#$%#"111%DU%01%44!.1%0#$%03%$01 331#13#00"70004 331#$%#"111%DU%01%44!.1%0#"%03%$01 331#$%#"111%DS%01%44!.1%011"%0#%$017 331#$%#"111%DS%01%44!.1%01$1%0#%$017

dr. Mi))riyuni

331#$%#"111%DU%01%44!.1%01%03%$01

dr. M+h Dia) Adi*ya

331#$%#"111%DU%0$%44!.1%0$0%1$%$01#

dr. Muhaad Aria +5ian*+ dr. Ririn Praihap)ari

331#030711!00001 331#$%#"111%DU%0$%44!.1%047%03%$01 331#$%#"111%DU%01%44!.1%0#4%03%$01

dr. Si)i:ia De2an

331#$%#"111%DU%0$%44!.1%110%1$%$01#

dr. S+5ian ndy Pradj+k+

331#$%#"111%DU%01%44!.1%0$0$%0!%$017

dr. Sri Pur2an

331#$%#"111%DU%01%44!.1%011%0%$017

dr. Suk+ Riyadi

331#$%#"111%DU%01%44!.1%0#7%03%$01

dr. 8h+a) 'udi Sea2an

331#$%#"111%DU%01%44!.1%0$03%0!%$017

dr. 8riya*i

331#$%#"111%DU%01%44!.1%03%03%$01

dr. indari

331#13#004"0001 331#$%#"111%DU%01%44!.1%04!%03%$01

Masa Berlaku SIP

! A;)* $0$$ ! /e@ $0$3 13 Bu: $0$$ $7 /e@ $0$$ 14 Mei $0$$ $$ Bu: $0$$ $3 /e@ $0$0 $1 Ban $01! $" Apr: $0$$ 1 Bun $0$0 11 Ban $0$$ 1! Mar $0$$  /e@ $0$0 1$ De) $0$$ 10 Bu: $01! " +5 $0$0 " Mei $01" $4 Ban $01" $ /e@ $01" 7 Bu: $0$0 $ Mar $0$0 $3 Mei $01! $" k* $0$0 $ Ban $0$3 $" Apr: $0$$ 7 Bun $0$$ 30 k* $0$$

Masa Berlaku SIP

$ Mei $01! 4 Apr: $01! $7 /e@ $0$$ $$ Bu: $0$$ 1 Mei $01! $" Apr: $0$$ 1" Bun $01! " Mei $0$$ $3 k* $0$0 1! De) $0$$ $" k* $0$0 1$ Sep* $0$$ 7 Sep* $0$1 1# Apr: $01! $0 Mei $0$$ $! Sep* $0$0 30 Bun $01! $4 A;)* $0$$ $$ Bu: $0$3 $ Mei $0$$ 3 A;)* $0$$ 17 A;)* $0$$ 1$ Bu: $0$$ 3 Apr: $0$$ 4 De) $0$0 1 Mar $0$0 10 Apr: $0$$ 11 k* $0$3 " Mei $0$$ 1! Sep* $0$$

Masa Berlaku SIP

1# k* $0$$ 7 A;)* $0$$  Mar $01! $# /e@ $01" $ Apr: $0$$ ! A;)* $0$$ $ Bun $0$$ 4 A;)* $0$$ 7 Sep* $0$$ 1$ Bu: $0$$ $! Bu: $0$1 $0 Bu: $0$1 10 /e@ $01! 1$ De) $0$$ 17 De) $01! 1 Bun $0$$ $7 Mar $0$1 $7 Mar $0$1 1! De) $0$1 $3 Apr: $0$$ 31 De) $0$1 $ Mei $0$$ $1 Apr: $0$$ 1" A;)* $0$$ 1 k* $0$1 $0 /e@ $0$3 $# Bu: $0$$ $0 Ban $0$1 $0 k* $0$0 10 Bu: $0$1 $1 Apr: $0$1

Masa Berlaku SIP

$$ Bun $0$0 1 Mar $0$$ $7 Mar $0$1 17 Mei $0$1 $3 k* $0$$ 1! A;)* $0$$  Ban $0$3 1$ Bu: $0$$ $1 /e@ $0$$ 17 Sep* $0$$ 10 Bun $01" 1! Sep* $0$$ $7 Sep* $01" 10 Apr: $01! $1 Mar $0$$ 3 Apr: $0$$ 14 Bu: $0$1 $4 k* $01! 4 Apr: $0$$ $0 Ban $0$3 $" De) $0$$ 1 Mar $0$3 14 A;)* $0$$ 1 Mar $0$0 $0 k* $0$1 3 Bun $0$$ 1$ A;)* $0$0 17 Ban $01! $ Sep* $01! 17 De) $01!

Masa Berlaku SIP

$! Bu: $0$1 1 k* $0$$ " Mei $0$$ 4 Mei $0$$ $1 +5 $0$$ 1 Bun $0$0 11 +5 $0$$ $0 A;)* $0$$ $0 Apr: $0$$ $ Apr: $01" $ +5 $0$1 14 Bu: $0$1 " Mei $0$$ $ Mei $0$$ 1! Mar $01! 4 Apr: $0$$ $! Sep* $0$0 10 /e@ $01! 1 k* $0$$ 1$ Bu: $0$$ $0 Bu: $0$1 30 Sep* $0$$ ! A;)* $0$$ 1 /e@ $0$1 $7 Mar $0$1 $ A;u)* $0$3 $3 Mei $01! $! Sep* $0$$ 3 A;u)* $0$$ 1! Mar $01!

Masa Berlaku SIP

$7 Sep* $01" 1# k* $0$$ " Mei $0$$ 17 A;u)* $0$$ 4 De) $0$0 14 Bu: $0$1 1$ Bu: $0$$ 1 Bu: $0$$ $7 Sep* $0$0 # Sep* $0$3 7 Sep* $0$$ 10 Bun $0$$  Mar $01! 1" Bun $01! $0 Ban $0$3 4 Apr: $0$$ 30 Bun $01! $$ Bu: $0$3 $! Sep* $0$0 $0 k* $0$1 1$ Bu: $0$$ 31 Ban $0$3 1 k* $0$$ $ Apr: $0$$ 11 k* $0$3 10 Apr: $0$$ $" A;u)* $0$$ 1! Mar $0$$ 17 De) $01! $0 Bu: $0$1 10 /e@ $01!

Masa Berlaku SIP

1$ De) $0$$ " Apr: $0$$ 17 Mei $0$1 $7 Mar $0$1 $7 Mar $0$1 $! Mei $0$$ $! k* $0$$ $7 Mar $0$1 $4 Bun $0$0 $4 Bun $0$0 $7 Mar $0$1 $4 Bun $0$0  Sep* $0$$ 10 k* $0$$ $7 Mar $0$1 # Apr: $0$$ $7 Mar $0$1 $7 Mar $0$1