Thursday, November 26, 2020
O ce bearers and Executive committee 2020-
22 ( Takes 3-5 Minutes to ll )
Full Name Prasanna HM
Mobile Number (984) 500-5060
Alternate Number (080) 413-5444
E-mail [email protected]
Institution/Hospital/Name of the Pristine hospital and research centre
Practice
Quali cations MBBS, MS ortho, FAO, AO-ASIF(Germany)
KMC Number 36114
Speciality Orthopaedic surgery
Address for communication Pristine hospital,877, Modi hospital road, west of Chord road
extension
Bengaluru , Karnataka , 560086
Please give your experience in the EC member PHANA 2010 to 2014
various organisations you have EC member BANGALORE Orthopaedic Society 2017/18
worked so far. Please mention the Joint Secretary PHANA 2014 to 2016
name of the organisation and the Vice President PHANA 2016 to 2018
positions held. President elect PHANA 2018 to 2020
Please write a brief about your In-depth knowledge about PHANA and been part of
strengths. ( those which will bene t association since last 10 years, have a own vision for
PHANA ) PHANA
Your Hobbies ✌ Golf
Ghazals
What is your Vision for PHANA Reading English novels
PHANA needs to be brand that all members should feel
proud of being its member
1
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Will you be able to volunteer for any Organising meetings Being part of delegations
of the following activities ( one or Writing articles
more can be chosen. please choose Analysing a situation and brainstorming sessions
as per your areas of interest ) Media management
Branding and image building of PHANA
Health Summit organisation
Working with govt at IAS level using your contacts and
rapport
Working with political circles All of the above
Please Upload a passport size photo (
upto 2 nos )
2
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How much time will you be able to 14 hrs
spend for PHANA activities per week
during 'peace time' .( in number of
hours )
Any other info/Suggestions Good luck
3
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Thursday, November 26, 2020
O ce bearers and Executive committee 2020-
22 ( Takes 3-5 Minutes to ll )
Full Name RAVINDRA R
Mobile Number (984) 503-4546
Alternate Number (984) 503-4546
E-mail [email protected]
Institution/Hospital/Name of the SUGUNA HOSPITAL
Practice
Quali cations MBBS , D’Ortho , MS Ortho
KMC Number 27416
Speciality Orthopaedics
Address for communication 1A/87, Dr. Rajkumar Road, 4th N Block, Rajajinagar
Bangalore , KARNATAKA , 560010
What is your Vision for PHANA PHANA- Karnataka should be the Single and Strong Voice
representing all the Private Healthcare Providers, not only in
Will you be able to volunteer for any Karnataka but also across India.
of the following activities ( one or
more can be chosen. please choose All of the above
as per your areas of interest )
How much time will you be able to 1
spend for PHANA activities per week
during 'peace time' .( in number of
hours )
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Friday, November 27, 2020
O ce bearers and Executive committee 2020-
22 ( Takes 3-5 Minutes to ll )
Full Name Rajashekar Y L
E-mail [email protected]
Institution/Hospital/Name of the Shekar eye Hospital
Practice
Quali cations MBBS, MD (Oph), Adv Management Programme ( IIMB), HMP
( IIMA )
KMC Number 29145
Speciality Ophthalmology
Address for communication Shekar Eye Hospital,633, 15th cross, J P Nagar 3rd phase
Bangalore, Karnataka, 560078
Please give your experience in the AIIMS, New Delhi as Senior Resident, Narayana Nethralaya
various organisations you have as Consultant, Shekar Eye Hospital Medical director,
worked so far. Please mention the Founder member, Bangalore Ophthalmic Society (BOS), Ex
name of the organisation and the president, BOS, President, Karnataka Ophthalmic Society, MC
positions held. member, All India Oph Society, Ex EC member, PHANA
Please write a brief about your Experience of working in organisations, team building,
strengths. ( those which will bene t putting systems and processes, one for all and all for one
PHANA ) approach, team above self
Your Hobbies ✌ Photography, chess, long drives
What is your Vision for PHANA A strong medical professionals' unity for creating a great
working environment and to serve society with ethics and
Will you be able to volunteer for any empathy. Restoring dignity and trust in the profession
of the following activities ( one or
more can be chosen. please choose Organising meetings Being part of delegations
as per your areas of interest )
Analysing a situation and brainstorming sessions
1
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Being part of website development & monitoring team
Managing public education activities
Branding and image building of PHANA
Health Summit organisation
Working with govt at IAS level using your contacts and
rapport
Working with political circles
Please Upload a passport size photo (
upto 2 nos )
How much time will you be able to 8-10 hrs
spend for PHANA activities per week
during 'peace time' .( in number of
hours )
Any other info/Suggestions Time ies, we need to act on our vision
2
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Thursday, November 26, 2020
O ce bearers and Executive committee 2020-
22 ( Takes 3-5 Minutes to ll )
Full Name shobha prakash
Mobile Number (984) 501-0929
Alternate Number (984) 449-5239
E-mail [email protected]
Institution/Hospital/Name of the NehaPrakashHospital
Practice
Quali cations MBBS MD (OBG) (DNB)
KMC Number 26270
Speciality Obstetrics and gynaecology
Address for communication NehaPrakashHospital , 8 6thmain 5th phase yelahanka new
town
Bangalore, Karnataka , 560064
Please give your experience in the M S Ramaiah teaching hospital senior resident
various organisations you have Mallya hospital junior
worked so far. Please mention the St philomenas hospital consultant
name of the organisation and the Mallige medical center consultant
positions held. Shushrusha nursing home consultant
NehaPrakashHospital medical director
Please write a brief about your
strengths. ( those which will bene t My strength is my hard work
PHANA ) Solving critical issues in emergencies
Team work is my passion
Your Hobbies ✌ Reading books
What is your Vision for PHANA Cooking
Music
All our member hospitals quality care should be on par with
each other
1
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Will you be able to volunteer for any Any time it is required voice should be same
of the following activities ( one or Being part of delegations
more can be chosen. please choose Analysing a situation and brainstorming sessions
as per your areas of interest ) Support for secretarial activities
Health Summit organisation
Working with political circles Working with NGOs
Working with fellow collegues
Working with Corporate hospitals
Please Upload a passport size photo (
upto 2 nos )
How much time will you be able to As required
spend for PHANA activities per week
during 'peace time' .( in number of
hours )
2
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Friday, November 27, 2020
O ce bearers and Executive committee 2020-
22 ( Takes 3-5 Minutes to ll )
Full Name Dr.Giridhar M.L.
Mobile Number (953) 845-5599
Alternate Number (953) 819-9977
E-mail [email protected]
Institution/Hospital/Name of the srilakshmihospitalmultispecialityhospital
Practice
Quali cations MBBS MS
KMC Number 48095
Speciality general surgery
Address for communication no-181. 3rd , E cross, 2nd block , 3rd stage ,
basaveshwaranagara bangalore-79, basaveshwarnagara
BANGALORE, KARNATAKA, BANGALORE-79
Please give your experience in the MYSORE CEMENT LTD - AMMASANDRA -CHEIF MEDICAL
various organisations you have OFFICER
worked so far. Please mention the CSI HOSPITAL - (ASSIST SURGEON)-BANGALORE
name of the organisation and the SR I-LAKSHMI MULTI SPECULIARITY HOSPITAL MEDICAL
positions held. DIRECTOR-Bangalore
Please write a brief about your AS A TREASURER MY AIM WOULD BE TO MAKE
strengths. ( those which will bene t PHANA ECONOMICALLY RESORCEFUL AND
PHANA ) INDEPENDENT
TO MAKE ALL THE PVT HOSPITAL A CROSS BANGALORE
TO BECAME MEMBER OF ESTEEM ORGANIZATION
ALSO MY AID OUR MEDICAL FRATERNITY WITH
ECONOMICAL NEEDS
Your Hobbies ✌ CRICKET,
What is your Vision for PHANA VOLLEYBALL
KABBADDI
TO TAKE PHANA AS A RECOGNIZABLE ASSOCIATIONS
Will you be able to volunteer for any Organising meetings Being part of delegations
of the following activities ( one or Being part of website development & monitoring team
more can be chosen. please choose Media management
as per your areas of interest )
Managing public education activities
Branding and image building of PHANA
Health Summit organisation
Working with govt at IAS level using your contacts and
rapport
Working with political circles
Working with fellow collegues
Please Upload a passport size photo (
upto 2 nos )
2
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How much time will you be able to 10 HOURS
spend for PHANA activities per week
during 'peace time' .( in number of
hours )
Any other info/Suggestions LONG LIVE PHANA
3
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Friday, November 27, 2020
O ce bearers and Executive committee 2020-
22 ( Takes 3-5 Minutes to ll )
Full Name Ramesh Somayaji
[email protected]
E-mail Rajashekar Multispeciality Hospital
Institution/Hospital/Name of the MBBS, MS (OBG)
Practice Obstetrics and gynaecology
Quali cations
Speciality
Please write a brief about your Good at managing Crisis situations, analysing and giving
strengths. ( those which will bene t suggestions, Organisation above self, open, frank and may
PHANA ) be sometimes blunt but always objective
Your Hobbies ✌ Cricket, Travel
What is your Vision for PHANA PHANA which will stand for health care institutions in all
weather conditions
Will you be able to volunteer for any
of the following activities ( one or Organising meetings Being part of delegations
more can be chosen. please choose
as per your areas of interest ) Analysing a situation and brainstorming sessions
Health Summit organisation
Working with fellow collegues
1
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Please Upload a passport size photo (
upto 2 nos )
How much time will you be able to 4hrs
spend for PHANA activities per week
during 'peace time' .( in number of
hours )
Any other info/Suggestions Transparency 7 effective communications
2
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Thursday, November 26, 2020
O ce bearers and Executive committee 2020-
22 ( Takes 3-5 Minutes to ll )
Full Name GV DIVAKAR
Mobile Number (984) 404-6724
Alternate Number (990) 034-6724
E-mail [email protected]
Institution/Hospital/Name of the DIvakars Speciality Hospital
Practice
Quali cations MS, DO, PGDMLE
KMC Number 19315
Speciality Ophthalmology
Address for communication DIvakars Speciality Hospital # 220, 9th Cross, , JP Nagar 2
nd Phase
Bangalore, Karnataka, 560078
Please give your experience in the KOS - EX President.,
various organisations you have B.O.S.- President
worked so far. Please mention the AIOS- Legal cell, LM.
name of the organisation and the
positions held. Active role in all activities of PHANA-as informed by
President, Secretary etc.,
Please write a brief about your
strengths. ( those which will bene t Training, arrangements for meetings etc
PHANA ) ??
Your Hobbies ✌ Branding of PHANA as a strong leader to voice on behalf of
all private hospitals-small nursing Homes or big corporate
What is your Vision for PHANA Hospitals
1
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Will you be able to volunteer for any Representation in committees of govt
of the following activities ( one or Organising meetings Being part of delegations
more can be chosen. please choose Writing articles
as per your areas of interest ) Analysing a situation and brainstorming sessions
Media management
Managing public education activities
Branding and image building of PHANA
Health Summit organisation
Working with govt at IAS level using your contacts and
rapport
Working with political circles Working with NGOs
Working with fellow collegues
Working with Corporate hospitals
All of the above
Please Upload a passport size photo (
upto 2 nos )
How much time will you be able to 10 hrs
spend for PHANA activities per week
during 'peace time' .( in number of
hours )
Any other info/Suggestions All the best
2
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Thursday, November 26, 2020
O ce bearers and Executive committee 2020-
22 ( Takes 3-5 Minutes to ll )
Full Name Vidyanand Gurumurthy
Mobile Number (984) 504-3978
Alternate Number (984) 580-3978
E-mail [email protected]
Institution/Hospital/Name of the Dr Vidyanands Surgical Hospital
Practice
Quali cations MBBS, DA.
KMC Number 38415
Speciality Anaesthesiologist
Address for communication 2269. 22 ND CROSS., K.R.ROAD. BANASHANKARI 2 ND
STAGE.
Bengaluru , KARNATAKA , 560070
Please give your experience in the Worked as a EXECUTIVE COMMITTEE member in PHANA in
various organisations you have the last term.
worked so far. Please mention the
name of the organisation and the
positions held.
Please write a brief about your I am familiar with almost all South Zone Hospital members I
strengths. ( those which will bene t can co ordinate with the same to strengthen our
PHANA ) organisation
Your Hobbies ✌ Singing, Listening to Bollywood songs, Trekking, Traveling.
What is your Vision for PHANA We should grow strong as a organization. We should build
our own brand which will be respected and regarded by one
and all. We should be a dedicated, devoted, disciplined,
distinguished organization
1
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Will you be able to volunteer for any Organising meetings Being part of delegations
of the following activities ( one or Being part of website development & monitoring team
more can be chosen. please choose Managing public education activities
as per your areas of interest ) Support for secretarial activities
Branding and image building of PHANA
Health Summit organisation Working with NGOs
Working with fellow collegues
Working with Corporate hospitals
Please Upload a passport size photo (
upto 2 nos )
2
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How much time will you be able to 8 to 10 hours
spend for PHANA activities per week
during 'peace time' .( in number of
hours )
Any other info/Suggestions No
3
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Friday, November 27, 2020
O ce bearers and Executive committee 2020-
22 ( Takes 3-5 Minutes to ll )
Full Name Deepak Balani
Mobile Number (934) 196-0717
Alternate Number (934) 220-3747
E-mail [email protected]
Institution/Hospital/Name of the Sakra World Hospital
Practice
Quali cations MD (Gen Med)
KMC Number 41114
Speciality Hospital Management
Address for communication Sakra World Hospital, 52/3, Devarabeesanahalli, Varthur
Hobli, Opp Intel, Outer Ring Road
Bengaluru, Karnataka, 560103
Please give your experience in the Sagar Hospitals, Jayanagar, 6 years
various organisations you have Intensivist, Consultant in Medicine.
worked so far. Please mention the
name of the organisation and the Fortis Hospitals, 7years
positions held. Head, Medical Services, various roles.
Sakra World Hospital, 3 years,
Chief of Medical Services.
Please write a brief about your Domain knowledge, tertiary care,
strengths. ( those which will bene t Systems and processes, hospital ops,
PHANA )
Movies, music
Your Hobbies ✌ Become a strong body representing safeguarding and
What is your Vision for PHANA
1
Create your own automated PDFs with JotForm PDF Editor
Will you be able to volunteer for any developing the healthcare sectors interests.
of the following activities ( one or Being part of delegations Writing articles
more can be chosen. please choose Analysing a situation and brainstorming sessions
as per your areas of interest ) Working with Corporate hospitals
How much time will you be able to 2
spend for PHANA activities per week
during 'peace time' .( in number of
hours )
2
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Friday, November 27, 2020
O ce bearers and Executive committee 2020-
22 ( Takes 3-5 Minutes to ll )
Full Name Prashanth Varadaraju
Mobile Number (988) 675-6355
Alternate Number (968) 611-1256
E-mail [email protected]
Institution/Hospital/Name of the Varalakshmi hsptl
Practice
Quali cations MS (gen surgery)
KMC Number 41048
Speciality Surgery
Address for communication Vl hsptl, 38/2 ,2 main
Banglore, Karnataka, 560068
Please give your experience in the 1)pHana -ec member 2) Lions club - president ( vihaymahal )
various organisations you have
worked so far. Please mention the Organise health camps , Social networking,Good friendship
name of the organisation and the Circle with Burecrats
positions held.
Listen to old Kannada songs
Please write a brief about your All of us to stand united and help each other at the time of
strengths. ( those which will bene t crisis and also pHana shd act as stress buster for all
PHANA ) nursing home owners .
Your Hobbies ✌
What is your Vision for PHANA
1
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Will you be able to volunteer for any Organising meetings
of the following activities ( one or
more can be chosen. please choose Support for secretarial activities
as per your areas of interest )
Working with govt at IAS level using your contacts and
rapport
Working with NGOs Working with fellow collegues
How much time will you be able to 2hrs
spend for PHANA activities per week
during 'peace time' .( in number of
hours )
Any other info/Suggestions No
2
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Wednesday, December 2, 2020
O ce bearers and Executive committee 2020-
22 ( Takes 3-5 Minutes to ll )
Full Name Sreenivasan Narayana
Mobile Number (990) 116-7676
Alternate Number (990) 116-7676
E-mail [email protected]
Institution/Hospital/Name of the Narayana health
Practice
Quali cations MS (ENT), MBA
KMC Number 59428
Speciality ENT
Address for communication 431/D, 10th cross, 1st N block, Rajajinagar
Bangalore , Karnataka , 560010
Please give your experience in the Group Vice President at Narayana health
various organisations you have CEO and Founder at Doctree health
worked so far. Please mention the General Manager at Apollo Hospitals
name of the organisation and the Assistant Professor at Karnataka Institute of Medical
positions held. Sciences
Please write a brief about your Negotiations, digital health, branding, raising funds, pricing
strengths. ( those which will bene t & insurance related issues
PHANA )
What is your Vision for PHANA Create positive impact to all the stakeholders of healthcare
value chain through adequate representation of private
healthcare providers in matters pertaining to delivery of
quality and cost effective healthcare.
Will you be able to volunteer for any Being part of delegations
of the following activities ( one or
more can be chosen. please choose
as per your areas of interest ) 1
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Analysing a situation and brainstorming sessions
Media management
Working with govt at IAS level using your contacts and
rapport
Working with Corporate hospitals
All of the above
Please Upload a passport size photo (
upto 2 nos )
2
Create your own automated PDFs with JotForm PDF Editor
How much time will you be able to 4
spend for PHANA activities per week
during 'peace time' .( in number of
hours )
3
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Thursday, November 26, 2020
O ce bearers and Executive committee 2020-
22 ( Takes 3-5 Minutes to ll )
Full Name sujith reddy
Mobile Number (990) 198-5506
Alternate Number (984) 429-6756
E-mail [email protected]
Institution/Hospital/Name of the NRR HOSPITAL
Practice
Quali cations MBBS DMRD
KMC Number 51290
Speciality Radiology
Address for communication I St Main Road, Nanjappa Reddy Colony
Bangalore, Karnataka, 560022
Please give your experience in the NRR hospital MD
various organisations you have Suprith Diagnostic center proprietor
worked so far. Please mention the Manav chariatable Hospital Radiologisst
name of the organisation and the RR institutions Director
positions held. IMA Bangalore North Treasurer
Health Bit sourse Enterprises
Please write a brief about your
strengths. ( those which will bene t Good at purchasing and negotiating in nincial matters ,can
PHANA ) mobilise and help in strengthening the organisatation
Your Hobbies ✌ Trecking
What is your Vision for PHANA Help in strengthening the organisatation
Will you be able to volunteer for any Being part of delegations
of the following activities ( one or
more can be chosen. please choose
as per your areas of interest ) 1
Create your own automated PDFs with JotForm PDF Editor
Support for secretarial activities
Working with govt at IAS level using your contacts and
rapport
Working with political circles
Working with fellow collegues
Working with Corporate hospitals
Please Upload a passport size photo (
upto 2 nos )
2
Create your own automated PDFs with JotForm PDF Editor
How much time will you be able to 3 hrs
spend for PHANA activities per week
during 'peace time' .( in number of
hours )
3
Create your own automated PDFs with JotForm PDF Editor
Saturday, December 19, 2020
O ce bearers and Executive committee 2020-
22 ( Takes 3-5 Minutes to ll )
Full Name Rajesh Murthy
Mobile Number (984) 511-8708
Alternate Number (994) 527-1291
E-mail [email protected]
Institution/Hospital/Name of the A V Multispeciality Hospital
Practice
Quali cations MBBS DMRD FRCR
KMC Number 33618
Speciality Radiologist
Address for communication 781/ 782 100 ft Ring Road , BSK 3rd Stage
Bangalore , Karnataka, 560078
Please give your experience in the PHANA EC 2014 during tenure of Dr Ramadev.
various organisations you have HOD in Sanjay Gandhi Institute of Trauma for 5 yrs
worked so far. Please mention the Planning of Vasavi Hospital and worked as HOD in Vasavi
name of the organisation and the Hospital for 2 yrs.
positions held.
Meeting PHANA members and stand United in all issues.
Please write a brief about your Staff problems in various institutions.
strengths. ( those which will bene t
PHANA ) Indoor sports
Listening to music
Your Hobbies ✌ Travel
What is your Vision for PHANA Make PHANA a global brand by showing team work,
discipline and motivation within members in all ongoing
issues.
1
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Will you be able to volunteer for any All of the above ��
of the following activities ( one or
more can be chosen. please choose
as per your areas of interest )
Please Upload a passport size photo (
upto 2 nos )
2
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How much time will you be able to 10 hrs
spend for PHANA activities per week
during 'peace time' .( in number of
hours )
3
Create your own automated PDFs with JotForm PDF Editor