Department File Number : | M201782571 |
Claim Number : | PHY-15-321881 |
Date Submitted : | 7/17/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LEXINGTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
25-1149494 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kamal | Chavda | |||
Street Address | |||||
13535 NEMOURS PARKWAY | |||||
City | State | Zip | |||
Orlando | FL | 32827 | |||
Phone | Ext | Fax | E-Mail Address | ||
(407) 205 - 4196 | KAMAL.CHAVDA@NEMOURS.ORG |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | kamal | chavda | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 13535 nemours parkway | ||||
City | State | Zip Code | County | ||
orlando | FL | 32827 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
6797715 | $2,000,000 | $4,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME123048 | Pediatrics - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Union | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Overlook Hospital New Jersey | ||||
Date of Occurrence | Date Reported to Insurer | ||||
9/15/2010 | 8/4/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Torsion of left testicle | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
5 year old presented with abdominal pain. Diagnosed with constipation and was discharged. Two days later was diagnosed with testicle torsion | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
5 year old presented with abdominal pain on September 15th 2010.2 days later on 17th September was seen by primary MD and diagnosed with left inguinal swelling and subsequently left testicle torsion. | |||||
Principal Injury Giving Rise To The Claim | |||||
Left testicle torsion | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/4/2016 | PHY-15-321881 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Union | 5/8/2017 | ||||
Other Defendants Involved in this Claim | |||||
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 | Settlement | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $210,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Making sure documentation of testicle exam on all boys presenting with abdominal pain.CME online on testicle torsion done. |
Updates | |
No updates found. |
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Does Dr. KAMAL CHAVDA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. KAMAL CHAVDA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).