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Dr. Ashkan Mowla_Salinas Valley Memorial Healthcare System CV Packet

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Neurology


CANDIDATE<br />

SNAPSHOT


Qualities ranked 1 - 5<br />

<strong>Dr</strong>. <strong>Ashkan</strong> <strong>Mowla</strong><br />

Neurology<br />

Main Motivation<br />

Years in Practice<br />

3<br />

<strong>Dr</strong>. <strong>Mowla</strong> and his wife are<br />

looking to relocate to<br />

California to escape the<br />

winters of New York and so<br />

they can be closer to family<br />

who reside in Palo Alto.<br />

Number of Jobs<br />

Longest Job<br />

Length of Most Recent Job<br />

Average Tenure Per Job<br />

1<br />

3<br />

3<br />

3<br />

Position<br />

Employee<br />

Organization<br />

3.5<br />

Desired Qualities in New<br />

Position<br />

CURRENT PRACTICE<br />

Gates Vascular Institute<br />

Schedule<br />

Monday through Friday<br />

Call<br />

1:06<br />

Patients A Day<br />

11 to 15<br />

Income or Hourly Rate<br />

3<br />

2.5<br />

2<br />

1.5<br />

1<br />

0.5<br />

$350,000.<br />

0<br />

Geography Finances Organization Work/Life<br />

Balance


CURRICULUM<br />

VITAE


Education<br />

<strong>Ashkan</strong> <strong>Mowla</strong>,MD,FAHA,FAAN<br />

100 High Street<br />

Buffalo, NY 14203<br />

(281)620-5056<br />

<strong>Mowla</strong>_a@yahoo.com<br />

Clinical Fellowship in Vascular Neurology and Stroke 2012 to 2013<br />

University of Michigan,<br />

Ann Arbor, MI<br />

Chief Residency in Neurology 2011 to 2012<br />

The Methodist Hospital Neurological Institute,<br />

Houston, TX<br />

Residency in Neurology 2009 to 2012<br />

The Methodist Hospital Neurological Institute,<br />

Houston, TX<br />

Internship in Internal Medicine 2008 to 2009<br />

State University of New York affiliated hospitals,<br />

Brooklyn, NY<br />

Completing USMLE, 2006 to 2008<br />

Exams, Immigration,<br />

US residency Interviews<br />

Doctor of Medicine (includes internship) 1996 to 2004<br />

Shiraz University of Medical Sciences (SUMS),<br />

Shiraz, Iran<br />

Work Experience<br />

Assistant Professor,<br />

Department of Neurology,<br />

Gates Vascular Institute,<br />

School of Medicine and Biomedical Sciences<br />

State University of New York at Buffalo,<br />

Buffalo, NY<br />

2013 to Current<br />

General Practitioner 2004 to 2006<br />

Underserved areas<br />

Shiraz, Iran<br />

Licenses<br />

California #A124491<br />

New York #271810<br />

Pennsylvania #MD451319<br />

Represented by Mission Recruiting Curriculum Vitae for <strong>Ashkan</strong> <strong>Mowla</strong> Page 1


Languages<br />

English<br />

Persian<br />

Represented by Mission Recruiting Curriculum Vitae for <strong>Ashkan</strong> <strong>Mowla</strong> Page 1


3 HOURS OF TALK TIME<br />

THE HEALTHCARE RECRUITERS AND MANAGING PARTNERS<br />

AT MISSION RECRUITING SPEND UP TO THREE HOURS GETTING<br />

TO KNOW A CANDIDATE THROUGH AN INITIAL SCREEN, SECOND<br />

SCREEN, AND AN INTRODUCTION CALL WITH THE MANAGING PARTNERS.<br />

THIS WAY, CANDIDATES THOROUGHLY UNDERSTAND A POSITION.<br />

MISSION RECRUITING<br />

info@missionrecruiting.com<br />

missionrecruiting.com<br />

949-535-0995


BOARD<br />

CERTIFICATION


American Board of Psychiatry and Neurology ~ verifyCERT<br />

https://application.abpn.com/verifycert/verifyCert.asp?a=1&u=1<br />

* Subspecialty with a dependency on a primary Specialty for<br />

certification status. See ABPN web site for more details.<br />

Attention Credentialers | ABPN<br />

Home Web Site<br />

Unrestricted medical licensure is a requirement to maintain certification by the ABPN. Licensure data may be reported to the ABPN<br />

through the Federation of State Medical Boards, individual state medical licensing boards, or self-reported by physicians. The ABPN<br />

cannot guarantee the certification status resulting from the loss or restriction of licensure if the loss or restriction has not been<br />

reported to the ABPN.<br />

The information on this page is current as of the date indicated. New diplomates will not appear on these pages until<br />

approximately 12 weeks following each examination period. The information displayed contains information related to certificates<br />

issued by the ABPN. For information about certificates issued by other Boards, contact the ABMS (www.abms.org) or the individual<br />

issuing Board.<br />

2 record(s) for search with for ABPN Diplomate Name= 'ashkan', 'mowla'<br />

verifyCERT Home| return to<br />

Search<br />

Name City State<br />

Specialty or<br />

Subspecialty Certification History Status as of 9/7/2016<br />

<strong>Mowla</strong> , <strong>Ashkan</strong> M.D. Buffalo NY Neurology<br />

Certificate No. 57700<br />

Certified on 09/20/2012<br />

Certification contingent on meeting<br />

MOC requirements<br />

Certified : view<br />

details<br />

Vascular Neurology*<br />

Certificate No. 1278<br />

Certified on 08/11/2014<br />

Certification contingent on meeting<br />

MOC requirements<br />

Certified : view<br />

details<br />

1 of 1 9/8/2016 4:43 PM


NATIONAL<br />

PROVIDER<br />

IDENTIFIER


NPPES NPI Registry<br />

https://npiregistry.cms.hhs.gov/registry/provider-view/1659607190<br />

1 of 2 9/8/2016 4:39 PM<br />

Search (/registry/) / Back to Results / NPI View<br />

ASHKAN MOWLA M.D<br />

Gender: MALE<br />

NPI: 1659607190<br />

Last Updated: 2014-12-15<br />

Name<br />

Value<br />

NPI 1659607190<br />

Enumeration Date 2009-10-18<br />

NPI Type<br />

Sole Proprietor<br />

Status<br />

Mailing Address<br />

1 - Individual<br />

NO<br />

Active<br />

800 SPRUCE ST<br />

PHILADELPHIA, PA 19107-6130<br />

United States<br />

Phone: 215-289-6500 | Fax:<br />

View Map (/registry/map-view?q=800 SPRUCE ST, PHILADELPHIA, PA, 191076130,<br />

United States)


NPPES NPI Registry<br />

https://npiregistry.cms.hhs.gov/registry/provider-view/1659607190<br />

2 of 2 9/8/2016 4:39 PM<br />

Name<br />

Primary Practice<br />

Address<br />

Value<br />

800 SPRUCE ST<br />

PHILADELPHIA, PA 19107-6130<br />

United States<br />

Phone: 215-289-6500 | Fax:<br />

View Map (/registry/map-view?q=800 SPRUCE ST, PHILADELPHIA, PA, 191076130,<br />

United States)<br />

Taxonomy<br />

Primary<br />

Taxonomy Selected Taxonomy State<br />

License<br />

Number<br />

Yes<br />

2084N0400X - Psychiatry & Neurology<br />

Neurology<br />

PA<br />

MD451319<br />

Other Identifiers<br />

Issuer State Number<br />

(http://hhs.gov)<br />

A federal government website managed by the<br />

U.S. Centers for Medicare & Medicaid Services (http://cms.hhs.gov)<br />

7500 Security Boulevard, Baltimore, MD 21244


3-SCREEN APPROACH<br />

THE MANAGING PARTNERS AT MISSION RECRUITING CREATED A 3-SCREEN<br />

PROCESS FOR CANDIDATES BEFORE THEY ARE SUBMITTED TO CLIENTS,<br />

CONFIRMING THAT CANDIDATES THOROUGHLY UNDERSTAND A JOB,<br />

LEADING TO MORE PLACEMENTS.<br />

MISSION RECRUITING<br />

info@missionrecruiting.com<br />

missionrecruiting.com<br />

949-535-0995


STATE<br />

LICENSES


Details<br />

http://www.licensepa.pa.gov/Details.aspx?result=fae4bb03-4f07-498a-b4...<br />

1 of 1 9/9/2016 10:31 AM<br />

For licensing questions, please Click Here to contact your Board. For technical questions about this website, please Click Here to send an E-mail.<br />

Click the X at the upper right corner to close this window and return to the list of licensees.<br />

Name: ASHKAN MOWLA<br />

Address(city state zipcode): Buffalo NY 14202<br />

Person Information<br />

Address Information<br />

License Information<br />

Type: Medical Physician and Surgeon Secondary Type: Number: MD451319<br />

Profession: Medicine Status: Active<br />

Issue Date: 3/19/2014 Expires: 12/31/2016 Last Renewed: 12/10/2014<br />

Discipline Action History<br />

No disciplinary actions were found for this license.<br />

The Information above is considered primary source for verification of license credentials.


NYS Professions - Online Verifications<br />

of 1<br />

http://www.nysed.gov/coms/op001/opsc2a?profcd=60&plicno=271810...<br />

9/9/2016 10:31 AM<br />

Office of the Professions<br />

Verification Searches<br />

The information furnished at this web site is from the Office of Professions' official database and is updated daily,<br />

Monday through Friday. The Office of Professions considers this information to be a secure, primary source for license<br />

verification.<br />

License Information *<br />

09/09/2016<br />

Name : MOWLA ASHKAN<br />

Address : BUFFALO NY<br />

Profession : MEDICINE<br />

License No: 271810<br />

Date of Licensure : 08/12/13<br />

Additional Qualification :<br />

Status : REGISTERED<br />

Registered through last day of : 10/16<br />

Medical School: SHIRAZ UNIVERSITY Degree Date : 01/20/2004<br />

(Use your browser's back key to return to licensee list.)<br />

* Use of this online verification service signifies that you have read and agree to the terms and conditions of use. See<br />

HELP glossary for further explanations of terms used on this page.<br />

Note: The Board of Regents does not discipline physicians(medicine), physician assistants, or specialist assistants. The<br />

status of individuals in these professions may be impacted by information provided by the NYS Department of Health. To<br />

search for the latest discipline actions against individuals in these professions, please check the New York State<br />

Department of Health's Office of Professional Medical Conduct homepage.<br />

Further information on physicians may be found on the following external sites (The State Education Department is not<br />

responsible for the accuracy or completeness of information located on external Internet addresses.):<br />

American Board of Medical Specialties<br />

American Medical Association:<br />

- For the general public: AMA Physician Select, On-line Doctor Finder<br />

- For organizations that verify physician credentials: AMA Physician Profiles<br />

American Osteopathic Association, AOA-Net<br />

Association of State Medical Board Executive Directors-(A.I.M."DOCFINDER")<br />

New York State Department of Health Physician Profiles<br />

The following sites provide additional information concerning the medical profession:<br />

CLEAR (Council on Licensure, Enforcement and Regulation)<br />

Federation of State Medical Boards


MISSION<br />

RECRUITING<br />

FORMS


Candidate Release and Background Form<br />

Full Name<br />

<strong>Ashkan</strong> <strong>Mowla</strong><br />

Digital Signature Agreement<br />

I certify that typing my name on this form will constitute my digital signature.<br />

Street Address<br />

4293 Coventry Green Circle<br />

City, State, Zip Code<br />

Buffalo<br />

Phone Number 2816205056<br />

Email Address<br />

mowla_a@yahoo.com<br />

Background Questionnaire<br />

1. Do you have any history of malpractice? No<br />

3. Have you ever been required to appear<br />

before any licensing agency?<br />

4. Have you ever had any issues with your<br />

hospital/staff privileges?<br />

5. Have you ever had any issues with your<br />

DEA license?<br />

6. Have you ever been subject to discipline<br />

by any medical organization?<br />

7. Have you ever been denied medical<br />

liability insurance or renewal?<br />

8. Have you ever had any issues with drug<br />

or alcohol abuse?<br />

9. Have you ever had a DUI or similar<br />

charge?<br />

No<br />

No<br />

No<br />

No<br />

No<br />

No<br />

No<br />

© 2016 Mission Recruiting, LLC 3020 Saturn Street, Suite 201, Brea, CA 92821 (949) 535-0995 info@missionrecruiting.com


Interview Process Overview<br />

A checklist of important interview factors and discussion points.<br />

Current <strong>CV</strong> and Completed Forms<br />

One On-Site interview<br />

I understand that I will send my most current <strong>CV</strong> and other pertinent forms to Mission Recruiting. I understand<br />

that if an offer is likely and I wish to pursue an opportunity I may be asked to provide three (3) references.<br />

I understand that in most cases there will be one on-site interview and that I will endeavor to learn all I can about<br />

the opportunity and community on my one visit.<br />

Spouse Included<br />

I understand that my spouse must accompany me to evaluate any position that will require me to relocate.<br />

Travel Expense Reimbursement<br />

I understand the travel costs for my interview may be reimbursed by the client, along with the travel costs for my<br />

spouse, subject to the Mission Recruiting Candidate Travel Expense Guidelines and client preferences. Some<br />

interviews may not be eligible for travel expense reimbursement. I further understand that the costs for children<br />

will not be reimbursed.<br />

Pre-Negotiated Offers<br />

I understand that any offer of employment will be based on the Work Expectations & Schedule and the Financial<br />

& Benefits sections listed in the Opportunity Overview and that offers are pre-negotiated to represent the best<br />

offer available from the client.<br />

Offer Letters Through Mission Recruiting<br />

Timely Decisions on Offers<br />

Digital Signature Agreement<br />

First Name, Middle Name (or Initial), Last<br />

Name<br />

I understand that any offer of employment for this opportunity will come through Mission Recruiting and I will<br />

strive to maintain adequate levels of communication throughout the process.<br />

I understand that any offer of employment will likely have a deadline of three to seven days and that deadlines<br />

are typically not extended.<br />

By checking this box I certify that I have read the Interview Process Overview and I am the person completing<br />

this form. I have typed my name below.<br />

<strong>Ashkan</strong> <strong>Mowla</strong><br />

Submission Date 09-03-2016 12:40:16


NEURO - 123275 <strong>Salinas</strong> <strong>Valley</strong> <strong>Memorial</strong> <strong>Healthcare</strong> <strong>System</strong>, <strong>Salinas</strong>, CA Opportunity Overview<br />

Submission Date 09-03-2016 12:40:36<br />

Opportunity Overview<br />

<strong>Salinas</strong> <strong>Valley</strong> <strong>Memorial</strong> <strong>Healthcare</strong> <strong>System</strong>, <strong>Salinas</strong>, CA NEURO - 123275<br />

Please review the following Opportunity Overview. Once you have reviewed the organization, community, financial and work<br />

expectations, please confirm your review and submit the form using the check boxes and submit button below.<br />

Opportunity Overview<br />

Confirmation &<br />

Acknowledgement<br />

Digital Signature<br />

NEURO+-+123275+-+New+Opportunity+Overview.pdf<br />

I have reviewed and understand the Work Expectations and Schedule.<br />

I have reviewed and understand the Financials and Benefits.<br />

<strong>Ashkan</strong> mowla<br />

Date 09/03/2016<br />

© 2016 Mission Recruiting, LLC 3020 Saturn Street, Suite 201, Brea, CA 9282 (949) 535-0995 info@missionrecruiting.com

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