GAUTHAM MOGILISHETTY

License Number: ME129188

Profession
Medical Doctor
License Status
CLEAR/Active
Year Began Practicing
01/01/1998
License Expiration Date
01/31/2026


Primary Practice Address
GAUTHAM MOGILISHETTY
7981 Gladiolus Drive
FT MYERS, FL 33908
Medicaid

The practitioner did not indicate if he/she participates in the Medicaid program.

Staff Privileges

This practitioner currently holds staff privileges at the following hospital/medical/health institutions:

Institution Name City State
Email Address

Please contact at: gmogilishetty@hotmail.com

Other State Licenses

This practitioner has indicated the following additional state licensure:

State Profession
Ohio MEDICAL DOCTOR
Delaware MEDICAL DOCTOR
Oregon PHYSICIAN (TRAINING)
Missouri MEDICAL DOCTOR
Missouri PHYSICIAN
Florida Birth-Related Neurological Injury Compensation Association
If you are a Florida Allopathic (MD) or Osteopathic (DO) Physician, you are required to provide proof of payment of the Florida Birth-Related Neurological Injury Compensation Association (NICA) assessment as required by section 766.314, Florida Statutes. Payment of the initial and annual assessment are required of all Florida Allopathic and Osteopathic Physicians who do not qualify for an exemption as set forth in section 766.314(4)(b)4, Florida Statutes.

This practitioner has indicated that he/she has submitted payment of the assessment.




Specialty Certification

This practitioner holds the following certifications from specialty boards recognized by the Florida board which regulates the profession for which he/she is licensed:

Specialty Board Certification
AMERICAN BOARD OF INTERNAL MEDICINE IM - INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE IM - NEPHROLOGY

Financial Responsibility

I have hospital staff privileges and I have professional liability coverage in an amount not less than $250,000 per claim, with a minimum annual aggregate of not less than $750,000 from an authorized insurer as defined under s. 624.09, F. S., from a surplus lines insurer as defined under s. 626.914(2), F. S., from a risk retention group as defined under s. 627.942, F.S., from the Joint Underwriting Association established under s. 627.351(4), F. S., or through a plan of self insurance as provided in s.627 .357, F.S.