Dr. SHAMIMARA BORACHI, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. SHAMIMARA BORACHI, MD

111 2ND AVE NE

Indemnity Paid: $35,000.00

Insurer Information

Insurer Name				Coverage Type
TIG INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
94-1517098
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Ray			Levernier
Street Address
125 S. Wacker Drive Suite 700
City				State	Zip
Chicago				IL	60606
Phone	Ext	Fax	E-Mail Address
(312) 606 - 2297			raymond_levernier@tigspecialty.com

Insured Information

Type	First Name		MI	Last Name
Individual	Shamimara			Borachi
Insurer Type		Street Address of Practice
Licensed		111 2ND AVE NE
City		State	Zip Code	County
ST PETERSBURG		FL	33701	Pinellas
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
HCF39251897		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME66831		Family Physicians or General Practitioners - Minor Surgery

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Pasco
City			State	Zip Code

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
COMMUNITY HOSPITAL OF NEW PORT RICHEY		100191
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
12/3/2002		12/30/2002

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
6 week history of diarrhea
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
resection of distal transverse colon, descending colon and transverse colon
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
failure to diagnose perforated colon
Principal Injury Giving Rise To The Claim
perforated colon
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit			Circuit Court Case Number
1/4/2005			51-2004-CA-3569-WS
County Suit Filed in			Date of Final Disposition
Pasco			7/10/2006
Other Defendants Involved in this Claim
pidala, frank a florida em-1 services new port ritchey hospital
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
Other			settled by parties, there was no court decision
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
7/11/2006

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$35,000

Loss Adjust Expense Paid to Defense Counsel

$24,678

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Unknown

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Does Dr. SHAMIMARA BORACHI, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. SHAMIMARA BORACHI, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).