STATE OF FLORIDA DEPARTMENT OF HEALTH DEPARTMENT OF HEALTH, PETITIONER, v. CASE NO. 2019-30552 PRAVEEN KORIVI, M.D., RESPONDENT. / ADMINISTRATIVE COMPLAINT Petitioner Department of Health (Department) files this Administrative Complaint before the Board of Medicine (Board) against Respondent Praveen Korivi, M.D., and in support thereof alleges: 1, Petitioner is the state agency charged with regulating the practice of medicine pursuant to Section 20.43, Florida Statutes (2018), and Chapters 456 and 458, Florida Statutes (2018). 2. Atall times material to this Complaint, Respondent was licensed to practice as a medical doctor within the State of Florida, having been issued license number ME 93253. 3. At all times material to this Complaint, Respondent's address of record was 2304 East Fletcher Avenue, Tampa, Florida 33612. 4. On or about June 18 through June 19, 2019, Respondent underwent an examination by Benjamin R. Phalin, Ph.D., (Dr. Phalin) a neuropsychologist. 5. Dr. Phalin diagnosed Respondent with major vascular neurocognitive disorder. 6. Dr. Phalin opined that Respondent is unable to practice medicine with reasonable skill and safety to patients. 7. On or about June 18 through June 21, 2019, Respondent underwent an examination by Scott A. Teitelbaum, M.D., (Dr. Teitelbaum) a physician that specializes in addiction medicine. 8. Dr. Teitelbaum diagnosed Respondent with major vascular neurocognitive disorder. 9, Dr. Teitelbaum opined that Respondent is unable to practice medicine with reasonable skill and safety to patients. 10. On or about June 19, 2019, Respondent underwent an examination by Jamie Smolen, M.D., (Dr. Smolen) a physician that specializes in addiction medicine. 11. Dr. Smolen diagnosed Respondent with severe neurocognitive disorder secondary to thalamic stroke. Administrative Complaint Dep't of Health v. Praveen Korivi, M.D. Case Number 2019-30552 12. Dr. Smolen opined that Respondent is unable to practice medicine with reasonable skill and safety to patients, 13. Section 458.331(1)(s), Florida Statutes (2018), subjects a medical doctor to discipline, including restriction, for being unable to practice medicine with reasonable skill and safety to patients by reason of illness or use of alcohol, drugs, narcotics, chemicals, or any other type of material or as a result of any mental or physical condition. 14. Respondent is unable to practice medicine with reasonable skill and safety to patients due to his major vascular neurocognitive disorder. 45. Based on the foregoing, Respondent violated Section 458.331(1)(s), Florida Statutes (2018). WHEREFORE, Petitioner respectfully requests that the Board enter an order imposing one or more of the following penalties: permanent revocation or suspension of Respondent's license, restriction of practice, imposition of an administrative fine, issuance of a reprimand, placement of Respondent on probation, corrective action, refund of fees billed or collected, remedial education and/or any other relief that the Board deems appropriate. [SIGNATURE BLOCK ON NEXT PAGE] Administrative Complaint Dep't of Health v. Praveen Korivi, M.D. Case Number 2019-30552 SIGNED this /S*day of bethe_, 2019. FILED DEPARTMENT OF HEALTH CLERK: DATE: PCP Meeting: October 10, 2019 DEPUTY CLERK Morus OCT 15 2019 Scott A. Rivkees, M.D. State Surgeon General Lipall 0 al a Getald C. Henley, II, Esq. Assistant General Counsel Department of Health Prosecution Services Unit 4052 Bald Cypress Way, Bin C-65 Tallahassee, FL 32399-3265 (850) 558-9832 TELEPHONE (850) 245-4684 FAX Florida Bar No. 1005574 Gerald.Henley@fihealth.gov PCP Members: Robert London, Shailesh Gupta, & Donald Mullins Administrative Complaint Dep't of Health v. Praveen Korivi, M.D. Case Number 2019-30552 NOTICE OF RIGHTS Respondent has the right to request a hearing to be conducted in accordance with Section 120.569 and 120.57, Florida Statutes, to be represented by counsel or other qualified representative, to present evidence and argument, to call and cross-examine witnesses and to have subpoena and subpoena duces tecum issued on his or her behalf if a hearing is requested. A request or petition for an administrative hearing must be in writing and must be received by the Department within 21 days from the day Respondent received the Administrative Complaint, pursuant to Rule 28-106.111(2), Florida Administrative Code. If Respondent fails to request a hearing within 21 days of receipt of this Administrative Complaint, Respondent waives the right to request a hearing on the facts alleged in this Administrative Complaint pursuant to Rule 28-106.111(4), Florida Administrative Code. Any request for an administrative proceeding to challenge or contest the material facts or charges contained in the Administrative Complaint must conform to Rule 28-106.2015(5), Florida Administrative Code. Mediation under Section 120.573, Florida Statutes, is not available to resolve this Administrative Complaint. : NOTICE REGARDING ASSESSMENT OF COSTS Respondent is placed on notice that Petitioner has incurred costs related to the investigation and prosecution of this matter. Pursuant to Section 456.072(4), Florida Statutes, the Board shall assess costs related to the investigation and prosecution of a disciplinary matter, which may include attorney hours and costs, on the Respondent in addition any other discipline imposed. Administrative Complaint Dep't of Health v. Praveen Korivi, M.D. Case Number 2019-30552

Docket for Case No: 19-006849PL