Department File Number : | M201990735 |
Claim Number : | 165147 |
Date Submitted : | 11/27/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HEALTH CARE INDEMNITY, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
61-0904881 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Christina | J | Stoker | ||
Street Address | |||||
1100 Dr. Martin Luther King Jr. Blvd, Ste. 500 | |||||
City | State | Zip | |||
Nashville | TN | 37203 | |||
Phone | Ext | Fax | E-Mail Address | ||
(615) 344 - 1779 | (866) 715 - 7235 | christina.stoker@hcahealthcare.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | RAJA | M | GIDWANI | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 20900 BISCAYNE BLVD | ||||
City | State | Zip Code | County | ||
AVENTURA | FL | 33180 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HCI-10114 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME109293 | Pathology - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
AVENTURA HOSPITAL AND MEDICAL CTR. | 100131 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | PATHOLOGY | ||||
Date of Occurrence | Date Reported to Insurer | ||||
12/6/2014 | 7/3/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
RUPTURED APPENDIX; UNDERWENT EMERGENT SURGERY | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
PHYSICIAN REVIEWED SLIDES IN PATHOLOGY; DETERMINED TISSUE WAS ABSCESS. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
APPENDICEAL CANCER. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 11/15/2019 | ||||
Other Defendants Involved in this Claim | |||||
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 | |||||
10/18/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $1,980,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $45,519 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $10,053 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $500,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
REFERRED TO RISK MANAGEMENT. |
Updates | |
No updates found. |
Department File Number : | M201990840 |
Claim Number : | 165147 |
Date Submitted : | 12/11/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HEALTH CARE INDEMNITY, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
61-0904881 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Raja | Gidwani | |||
Street Address | |||||
3920 Sw 186th Way | |||||
City | State | Zip | |||
Miramar | FL | 33029 | |||
Phone | Ext | Fax | E-Mail Address | ||
(321) 695 - 9472 | (844) 443 - 9264 | rajagidwani@aol.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Raja | Gidwani | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 20900 Biscayne Blvd | ||||
City | State | Zip Code | County | ||
Aventura | FL | 33180 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
165147 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME109293 | Pathology - All Other |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
AVENTURA HOSPITAL AND MEDICAL CTR. | 100131 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Pathology | ||||
Date of Occurrence | Date Reported to Insurer | ||||
12/6/2014 | 8/1/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
APPENDICEAL CANCER | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
DETERMINED TISSUE WAS RUPTURED ABSCESS. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
FAILURE TO DIAGNOSE APPENDICEAL CANCER. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 10/19/2019 | ||||
Other Defendants Involved in this Claim | |||||
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 | |||||
10/18/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $1,980,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Continued education. |
Updates | |
No updates found. |
Does Dr. RAJA M GIDWANI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RAJA M GIDWANI, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).