Department File Number : | M201472241 |
Claim Number : | 12-0285-A-12 |
Date Submitted : | 10/7/2014 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FD INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-3704679 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Linda | D | Collins | ||
Street Address | |||||
4651 Salisbury Road, Suite 410 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 296 - 2887 | 214 | (904) 296 - 1245 | lcollins@fldic.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Poonam | Malhotra | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 11077 Spring Hill Drive | ||||
City | State | Zip Code | County | ||
Spring Hill | FL | 34608 | Hernando | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
GL01000038 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME93291 | Family Physicians or General Practitioners - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Hernando | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
SPRING HILL REGIONAL HOSPITAL | 111525 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/24/2012 | 12/18/2012 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient presented to the hospital with complaints of abdominal pain. Surgery was performed and a mass removed by another physician. This insured never saw the patient. The nursing entry incorrectly indentified this insured. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
None by this physician. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
None made. | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged failure to appropriately evaluate, assess and reassess the patient; alleged failure to perform an appropriate history and physical; alleged failure to order appropriate tests. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/24/2013 | CA-13-998 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hernando | 9/17/2014 | ||||
Other Defendants Involved in this Claim | |||||
Hernando HMA, LLC d/b/a Spring Hill Regional Hospital Manubay, M.D., John Brooksville Walk In Clinic, LLC Malhotra, M.D., Gaurav | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Claim or suit abandoned. | |||||
Final Method of Claim Disposition | |||||
No Payment Made | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
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 | $27,729 | ||||||||||||||||||||
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 taken. |
Updates | |
No updates found. |
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Does Dr. POONAM MALHOTRA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. POONAM MALHOTRA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).