Medical Malpractice Cases

Dr. EBRAHIM H MAMSA, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address
Dr. EBRAHIM H MAMSA, MD
10285 Cove Lake Drive
US

Court Case # 2010-L-012335

Indemnity Paid: $10,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201366875
Claim Number :1007267-01
Date Submitted :1/22/2014
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA MEDICAL MALPRACTICE JUAPrimary
Insurer FEINProfessional License Number
59-1625412 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualSUSAN SPIELMAN
Street Address
5814 Reed Street
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0340 (260) 486 - 0782SUSAN.SPIELMAN@MEDPRO.COM
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEbrahimHMamsa
Insurer TypeStreet Address of Practice
Licensed10285 Cove Lake Drive
CityStateZip CodeCounty
OrlandoFL32836Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
FL002613$250,000$750,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN10792Dentists - N.O.C. 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FOut of state
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
11/21/20082/2/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Crowns
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Prep teeth for crowns
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Improper prep of teeth
Principal Injury Giving Rise To The Claim
Pain, sensitivity, additional treatment
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/25/20112010-L-012335
County Suit Filed inDate of Final Disposition
Out of state4/12/2013
Other Defendants Involved in this Claim
Mirza DDS, Muzaffar
Dental Center at Bethany 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/12/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$10,000
Loss Adjust Expense Paid to Defense Counsel$34,918
All Other Loss Adjustment Expense Paid$6,151
Injured Person's Total Non-Economic Loss$7,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
 
Date of Change:1/22/2014 3:12:50 PM
Reason for Change:ALE Update
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel3262734918
All Other Loss Adjustment Expense Paid33776151

 

 

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Frequently Asked Questions

Does Dr. EBRAHIM H MAMSA, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. EBRAHIM H MAMSA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

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