Department File Number : | M202092785 |
Claim Number : | 202010049 |
Date Submitted : | 6/19/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Patel, Girish D | Primary | ||||
Insurer FEIN | Professional License Number | ||||
99-9999999 | ME95735 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Girish | D | PATEL | ||
Street Address | |||||
6396 North Biscayne Drive | |||||
City | State | Zip | |||
North Port | FL | 34291 | |||
Phone | Ext | Fax | E-Mail Address | ||
(941) 321 - 4040 | (941) 429 - 4754 | girishpatel70@hotmail.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Girish | D | PATEL | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 6396 North Biscayne Drive | ||||
City | State | Zip Code | County | ||
North Port | FL | 34291 | Sarasota | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PPL0900414 | $250,000 | *NR | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME95735 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Charlotte | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
BAYFRONT MEDICAL CENTER | 100032 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/15/2017 | 2/6/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
post ops complication after the procedure by GI Dr , | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Post Op by GI Dr who did the procedure, GI dr was handling the issue with Pt after the procedure | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
N/A from Me as Attending post ops complication after the procedure by GI Dr , | |||||
Principal Injury Giving Rise To The Claim | |||||
N/A from Me as Attending post ops complication after the procedure by GI Dr , no lawsuit , pre suit claim only | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/22/2020 | 9999999 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Charlotte | 1/22/2020 | ||||
Other Defendants Involved in this Claim | |||||
bayfront hospital Garrow , Dr Garrow | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
1/22/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
none. this was not a lawsuit, pre suit claim only |
Updates | |
No updates found. |
Does Dr. GIRISH D PATEL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. GIRISH D PATEL, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).