Raghuveer Vallabhaneni, MD
Provider is directly employed by MedStar Health

4.7 out of 5 (223 reviews)

Specialities: Vascular Surgery

Languages: English

(410) 261-8226

About me

Raghuveer Vallabhaneni, MD, FACS FSVS, is the Director of Vascular Surgery for the Baltimore region. He is a fellowship-trained vascular surgeon who is board certified in vascular surgery . Most recently, Dr. Vallabhaneni served as an Assistant Professor of Surgery in the Division of Vascular Surgery at the University of North Carolina.

Experienced in all forms of endovascular and open surgery, including minimally-invasive, as well as in the medical management of vascular issues, Dr. Vallabhaneni is able to offer his patients the full range of available diagnostic and treatment options. He also has specific expertise in treating complex aortic disease and has developed a national reputation in this field.

He completed a research fellowship at the University of Pittsburgh Medical School and his clinical vascular surgery fellowship at Barnes-Jewish Hospital in St. Louis. He trained in general surgery at the University of Pittsburgh Medical Center.

Dr. Vallabhaneni's research interests are focused on patient outcomes related to the latest advances in vascular surgery. He has been the principal investigator on numerous clinical trials related to various treatment modalities. Dr. Vallabhaneni is published widely, including book chapters and peer-reviewed articles, and has been an invited speaker at both regional and national vascular surgery conferences.

He chose the field of vascular surgery because he enjoys the continuity of care and the ability to directly impact his patients in a meaningful way customizing the appropriate therapeutic option to the individual patient in order to ensure the most favorable outcome.

Clinical areas of focus

  • Abdominal Aortic Aneurysm
  • Aortic Aneurysm
  • Carotid Stent
  • Inferior Vena Cava Filter Removal
  • Leg Pain
  • May Thurner Syndrome
  • Peripheral Artery Disease
  • Peripheral Edema
  • Spider Veins
  • Thoracoabdominal Aneurysm
  • Varicose Veins
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Conditions and procedures

Conditions I treat

  • Abdominal Aortic Aneurysm
  • Abdominal Aortic Ectasia
  • Acquired Arteriovenous Aneurysm
  • Aneurysm
  • Aneurysm Of Artery Of Neck
  • Aneurysm Of Ascending Aorta
  • Aneurysm Of Descending Aorta
  • Aneurysm Of Leg Artery
  • Aneurysm Of Renal Artery
  • Aneurysm Of Splenic Artery
  • Aneurysm Of Subclavian Artery
  • Aneurysm Of Upper Extremity Artery
  • Aneurysm Of Visceral Artery
  • Aortic Aneurysm
  • Aortic Arch Aneurysm
  • Aortic Atresia
  • Aortic Bifurcation Syndrome
  • Aortic Coarctation
  • Aortic Ectasia Thoracoabdominal
  • Aortic Ulcer
  • Aortoiliac Obstruction
  • Arterial Embolism
  • Arterial Thrombosis
  • Arteriovenous Fistula
  • Arteriovenous Fistula Thrombosis
  • Arteriovenous Graft Occlusion
  • Atheroembolism Of Lower Extremities
  • Atheroembolism Of Upper Extremities
  • Atherosclerosis
  • Atherosclerosis Of Renal Artery
  • Atherosclerosis Of The Extremities
  • Carotid Aneurysm
  • Carotid Intimal Thickness
  • Carotid Stenosis
  • Celiac Artery Compression Syndrome
  • Claudication
  • Cold Sensitivity Hands
  • Complex Thoracoabdominal Aortic Disease
  • Critical Limb Ischemia
  • Deep Thrombophlebitis
  • Deep Vein Thrombosis
  • Diabetic Foot Infection
  • Diabetic Ulcer
  • Dissecting Abdominal Aortic Aneurysm
  • Dissection Carotid Artery
  • Dissection Of Aorta
  • Dissection Of Vertebral Artery
  • Dissection Renal Artery
  • Familial Aneurysmal Disease
  • Fibromuscular Dysplasia
  • Gangrene
  • Hereditary Hemorrhagic Telangiectasia
  • Iliac Aneurysm
  • Iliac Artery Endofibrosis
  • Iliac Artery Stenosis
  • Intestinal Artery Disease
  • Ivc Occlusion
  • Klippel Trenaunay Syndrome
  • Leg Pain
  • Leg Ulcers
  • Leriche Syndrome
  • May Thurner Syndrome
  • Mesenteric Artery Disease
  • Mesenteric Vascular Disease
  • Paraganglioma
  • Pelvic Congestion Syndrome
  • Pelvic Varicose Veins
  • Peripheral Artery Disease
  • Peripheral Edema
  • Peripheral Malformation
  • Peripheral Vascular Diseases
  • Poor Circulation In Hands
  • Popliteal Artery Aneurysm
  • Popliteal Artery Entrapment Syndrome
  • Postphlebitic Syndrome
  • Pseudoaneurysm
  • Recurrent Thrombosis
  • Renal Artery Dysplasia
  • Renal Artery Stenosis
  • Ruptured Aneurysm
  • Saddle Embolus
  • Sma Stenosis
  • Spider Veins
  • Stenosis Vascular Graft
  • Stent Thrombosis
  • Stricture Of Artery
  • Subclavian Steal Syndrome
  • Subclavian Stenosis
  • Superficial Phlebitis
  • Superior Mesenteric Artery Stenosis
  • Thoracoabdominal Aneurysm
  • Thromboangiitis Obliterans
  • Thrombophlebitis
  • Thrombosis
  • Thrombotic Disorders
  • Trauma
  • Varicose Veins
  • Vascular Anomalies
  • Vascular Disorders Of Kidney
  • Vascular Insufficiency Of Intestine
  • Vascular Malformation
  • Venous Insufficiency
  • Venous Stasis Disease
  • Visceral Malformation
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Procedures I perform

  • Abdominal Aneurysm Repair
  • Abdominal Aorta Aneurysm Repair
  • Abdominal Aorta Pta
  • Amputation Below The Knee Surgery
  • Amputation Of The Toe Surgery
  • Angiography
  • Aortic Angioplasty
  • Aortofemoral Shunt
  • Arterial Biopsy
  • Arterial Reconstruction Of The Lower Extremities
  • Arteriovenous Bypass
  • Arteriovenous Graft
  • Balloon Angioplasty Maturation
  • Balloon Catheter
  • Carotid Artery Angioplasty
  • Carotid Artery Ultrasound
  • Carotid Doppler
  • Carotid Endarterectomy
  • Carotid Stent
  • Catheter Ablation For Pelvic Congestion Syndrome
  • Celiac Artery Angiogram
  • Celiac Artery Bypass
  • Celiac Artery Embolization
  • Celiac Artery Pta
  • Celiac Artery Stenting
  • Cervical Rib Resection
  • Common Carotid Artery Stenting
  • Common Femoral Thromboendarterectomy
  • Diabetic Limb Salvage
  • Dialysis Access
  • Dialysis Catheter
  • Dialysis Graft Angioplasty
  • Embolectomy
  • Endarterectomy
  • Endarterectomy Of Abdominal Artery
  • Endarterectomy Of Intracranial Artery
  • Endarterectomy Of Lower Limb Artery
  • Endarterectomy Of Upper Limb Artery
  • Endovascular Aneurysm Repair
  • Endovascular Atherectomy
  • Endovascular Celiac Artery Surgery
  • Endovascular Femoral Artery Surgery
  • Endovascular Iliac Artery Surgery
  • Endovascular Laser Atherectomy
  • Endovascular Stenting
  • Endovascular Superior Mesenteric Artery Surgery
  • Endovenous Laser Ablation Of Varicose Veins
  • Femoral Artery Angioplasty
  • Iliac Artery Angioplasty And Stenting
  • Ilioiliac Artery Bypass Graft
  • Infected Graft Surgery
  • Inferior Vena Cava Filter Removal
  • Interruption Of Vena Cava
  • Laparoscopic Aortic Surgery
  • Ligation Of Internal Jugular Vein
  • Limb Salvage
  • Lower Extremity Angioplasty And Stenting
  • Lower Extremity Bypass
  • Mesenteric Artery Stenting
  • Mesenteric Open Bypass
  • Open Aortic Surgery
  • Open Portocaval Venous Anastomosis
  • Open Thoracoabdominal Aortic Aneurysm Repair
  • Peripheral Artery Angioplasty
  • Peripheral Artery Bypass
  • Radial Artery Access
  • Removal Of Infected Abdominal Graft
  • Removal Of Infected Neck Graft
  • Renal Angioplasty And Stenting
  • Renal Artery Bypass Surgery
  • Renal Artery Stenting
  • Renoportal Anastomosis Procedure
  • Repair Of Axial Brachial Aneurysm
  • Repair Of Blood Vessel Of Leg
  • Repair Of Carotid Subclavian Aneurysm
  • Repair Of Intraabdominal Blood Vessel
  • Repair Of Neck Blood Vessel
  • Repair Of Popliteal Artery
  • Repair Of Vertebral Artery
  • Robotic Endovascular Surgery
  • Saphenous Vein Ligation
  • Sclerotherapy For Spider Veins
  • Sclerotherapy For Varicose Veins
  • Sma Angiogram
  • Sma Embolization
  • Splenic Artery Repair
  • Superior Mesenteric Artery Bypass
  • Superior Mesenteric Artery Stenting
  • Thoracic Endovascular Aortic Repair
  • Thoracic Outlet Decompression
  • Unna Boot
  • Upper Extremity Angioplasty And Stenting
  • Valvuloplasty Of Femoral Vein
  • Varicose Vein Treatment
  • Vascular Access Device
  • Vascular Access Surgery
  • Vascular Laser
  • Vascular Stenting
  • Vein Ligation
  • Vertebral Transposition
  • Vnus Closure
  • Wound Care
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Practice locations

Distance from Change LocationEnter your Location

3333 North Calvert Street
Baltimore, MD, 21218

410-554-2950

Fax 410-261-8226

Get Directions

miles away

Fax 410-261-8226

5601 Loch Raven Boulevard
Baltimore, MD, 21239

443-444-3431
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miles away

201 East University Parkway
Baltimore, MD, 21218

410-261-8226
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miles away

Insurance

MedStar Medical Group accepts most major health insurance plans. If you are uncertain as to whether your individual health insurance plan is accepted at MedStar Medical Group, please call your insurance company.

  • List of insurance plans we accept
    • Aetna Elect Choice/ EPO (Aetna Health Fund) Innovation Health: Network Only Plus
    • Aetna Quality Point of Service (POS)
    • Aetna USAccess (POS)
    • Aetna Student Health Insurance
    • Aetna Medicare Advantage HMO & PPO Plans
    • CFBCBS BlueChoice HMO
    • CFBCBS Blue Choice Opt Out Plus Open Access (POS)
    • CFBCBS Maryland Point of Service Plan (MPOS)
    • CFBCBS Federal Employee Program (Std. & Basic PPO)
    • CFBCBS Maryland Indemnity or PPO
    • CFBCBS (NCA) Indemnity
    • CIGNA HMO & Network (HMO)
    • CIGNA POS/Network POS
    • Great-West Healthcare POS/CIGNA
    • CIGNA Indemnity
    • Coventry Health Care of Virginia
    • Coventry of Delaware HMO/PPO
    • First Health PPO
    • FIRST HEALTH
    • Tricare Prime
    • Tricare Standard
    • Tricare Extra (Indemnity)
    • Tricare for Life (Medicare Supplemental Plan)
    • MedStar Family Choice - Maryland Health Choice
    • MedStar Select (MedStar Associates' Plan)
    • MedStar Medicare Choice
    • United Healthcare Select HMO - EPO/NPP
    • United Healthcare Select Plus (POS)
    • United Healthcare Choice Plus
    • United Student Resources
    • M.D. IPA (HMO)
    • M.D. IPA Preferred (POS)
    • Optimum Choice Preferred (POS) & OCI Direct (HMO)
    • Mamsi Life & Health (Indem./PPO)
    • Aetna Worker's Compensation Network
    • Coventry Health Care National Network PPO
    • Private Health Care Systems (PHCS) (PPO)
    • United Healthcare Options (PPO) (includes Empire PPO, GEHA, Compass Rose)
    • OneNet PPO, Inc.
    • United Healthcare Choice
    • United Healthcare Core Essential (HMO)
    • Optimum Choice
    • United Healthcare Navigate
    • United Healthcare Compass (HMO)
    • CIGNA HMO Open Access (OA)
    • Network OA
    • POS OA & OA Plus
    • CIGNA EPO
    • PPO and PPO Plus
    • Choice Fund PPO
    • CFBSBC Blue Preferred PPO
    • HealthyBlue PPO
    • CFBCBS Blue Choice Opt Out Open Access
    • BlueChoice Open Access
    • Blue Choice Advantage & Healthy Blue (HMO, POS)
    • Aetna Traditional Choice (PPO)
    • Innovation Health: Indemnity
    • Aetna Open Choice (PPO)
    • Innovation Health: PPO
    • Aetna Managed Choice (POS)
    • Innovation Health: POS Plus
    • Aetna Elect Choice/ Open Access (POS)
    • Innovation Health: Open Network Only Plus
    • Aetna HMO-Open Access/Select OA/HealthFund/Health Network Option OA
    • Innovation Health: POS
    • Open HMO
    • Opoen HMO Option
    • Open EPO Plus
    • Aetna Managed Choice Open Access (POS)
    • Choice POS & Choice POS II
    • Innovation Health: Open POS Plus
    • Open POS II
    • Aetna HMO
    • Select HMO/HealthFund/Health Network
    • Aetna Innovations: HMO & EPO Plus

Videos

Education

Board Certification: American Board of Surgery, Vascular Surgery

Board Certification: American Board of Surgery, Surgery

Fellowship Program: Washington University/Barnes Jewish Hospital (2011)

Residency Program: University of Pittsburgh Medical Center (2009)

Medical School: University of Medicine and Dentistry of New Jersey at Newark (2001)

News and publications

Optimization of factors for the prevention of spinal cord ischemia in thoracic endovascular aortic repair.



Sulzinski MC, Rossi MJ, Alfawaz AA, Reynolds KB, Maloni KC, Kiguchi MM, Dearing JA, Abramowitz SD, Vallabhaneni R, Woo EY, Fatima J.Vascular. 2021 Apr 14:17085381211007623. doi: 10.1177/17085381211007623. Online ahead of print.PMID: 33853456



Results of Obturator Foramen Bypass in Patients with Groin Infection and Arterial Involvement.



Dunphy KM, Hassey J, Vallabhaneni R, Alfawaz AA, Kiguchi MM, Fatima J, Woo EY, Abramowitz SD.Ann Vasc Surg. 2021 Apr 20:S0890-5096(21)00202-8. doi: 10.1016/j.avsg.2021.02.011. Online ahead of print.PMID: 33848584



Systematic review and meta-analysis of endovascular interventions for Stanford type A aortic dissection.



De Freitas S, Rossi MJ, Abramowitz SD, Fatima J, Kiguchi MM, Vallabhaneni R, Walsh SR, Woo EY.J Vasc Surg. 2021 Feb 13:S0741-5214(21)00198-1. doi: 10.1016/j.jvs.2021.01.054. Online ahead of print.PMID: 33592292 



Transcarotid Endovascular Repair of Extracranial Internal Carotid Artery Aneurysms Using Flow Reversal for Distal Embolic Protection.



Ahmed SM, Hosseini M, Santini R, Sahajwani S, Vallabhaneni R, Toursavadkohi S, Karwowski J, Nagarsheth K.Ann Vasc Surg. 2020 Aug;67:568.e13-568.e18. doi: 10.1016/j.avsg.2020.03.020. Epub 2020 Mar 28.PMID: 32234395



Comparison of commercially available versus customized branched-fenestrated devices in the treatment of complex aortic aneurysms.



Motta F, Vallabhaneni R, Kalbaugh CA, Alyateem G, Marston WA, Farber MA.J Vasc Surg. 2019 Mar;69(3):645-650. doi: 10.1016/j.jvs.2018.05.215. Epub 2018 Aug 17.PMID: 30126783



The role of selective stenting for superior mesenteric artery scallops during fenestrated endovascular aneurysm repair.



Motta F, Vallabhaneni R, Kalbaugh CA, Farber MA.J Vasc Surg. 2019 Jan;69(1):47-52. doi: 10.1016/j.jvs.2018.05.016. Epub 2018 Jun 28.PMID: 29960791



The impact of current smoking on outcomes after infrainguinal bypass for claudication.



Kalbaugh CA, Gonzalez NJ, Luckett DJ, Fine J, Brothers TE, Farber MA, Beck AW, Hallett JW Jr, Marston WA, Vallabhaneni R.J Vasc Surg. 2018 Aug;68(2):495-502.e1. doi: 10.1016/j.jvs.2017.10.091. Epub 2018 Mar 2.PMID: 29506947



Performance of acoustic radiation force impulse ultrasound imaging for carotid plaque characterization with histologic validation.



Czernuszewicz TJ, Homeister JW, Caughey MC, Wang Y, Zhu H, Huang BY, Lee ER, Zamora CA, Farber MA, Fulton JJ, Ford PF, Marston WA, Vallabhaneni R, Nichols TC, Gallippi CM.J Vasc Surg. 2017 Dec;66(6):1749-1757.e3. doi: 10.1016/j.jvs.2017.04.043. Epub 2017 Jul 13.PMID: 28711401 



Results from multiple prospective single-center clinical trials of the off-the-shelf p-Branch fenestrated stent graft.



Farber MA, Eagleton MJ, Mastracci TM, McKinsey JF, Vallabhaneni R, Sonesson B, Dias N, Resch T.J Vasc Surg. 2017 Oct;66(4):982-990. doi: 10.1016/j.jvs.2017.01.068. Epub 2017 May 27.PMID: 28559176



Better survival for African and Hispanic/Latino Americans after infrainguinal revascularization in the Society for Vascular Surgery Vascular Quality Initiative.



Brothers TE, Zhang J, Mauldin PD, Tonnessen BH, Robison JG, Vallabhaneni R, Hallett JW Jr, Sidawy AN.J Vasc Surg. 2017 Apr;65(4):1062-1073. doi: 10.1016/j.jvs.2016.10.105. Epub 2017 Feb 8.PMID: 28189358



Incidence and Clinical Significance of Renal Infarct After Fenestrated Endovascular Aortic Aneurysm Repair.



Burke LM, Conyers JM, Burke CT, Dixon R, Yu H, Kim J, Vallabhaneni R, Farber MA, Isaacson AJ.AJR Am J Roentgenol. 2017 Apr;208(4):885-890. doi: 10.2214/AJR.16.16562. Epub 2017 Jan 26.PMID: 28125784



Endovascular treatment of aneurysms using fenestrated-branched endografts with distal inverted iliac limbs.



Jain V, Banga P, Vallabhaneni R, Eagleton M, Oderich G, Farber MA.J Vasc Surg. 2016 Sep;64(3):600-4. doi: 10.1016/j.jvs.2016.02.058.PMID: 27565586



Management of acute type B aortic dissections.



Jain V, Farber MA, Vallabhaneni R.Expert Rev Cardiovasc Ther. 2016 Sep;14(9):1043-52. doi: 10.1080/14779072.2016.1199955. Epub 2016 Aug 10.PMID: 27339830 



Ultralow Iodine Dose Transarterial Catheter-Directed CT Angiography for Fenestrated Endovascular Aortic Repair Planning.



Isaacson AJ, Burke LM, Vallabhaneni R, Farber MA.Ann Vasc Surg. 2016 Aug;35:234-7. doi: 10.1016/j.avsg.2016.01.045. Epub 2016 May 27.PMID: 27238979



Predicting outcomes for infrapopliteal limb-threatening ischemia using the Society for Vascular Surgery Vascular Quality Initiative.



Brothers TE, Zhang J, Mauldin PD, Tonnessen BH, Robison JG, Vallabhaneni R, Hallett JW Jr.J Vasc Surg. 2016 Jan;63(1):114-24.e5. doi: 10.1016/j.jvs.2015.08.063. Epub 2015 Oct 1.PMID: 26432282



Current accepted hemodynamic criteria for critical limb ischemia do not accurately stratify patients at high risk for limb loss.



Vallabhaneni R, Kalbaugh CA, Kouri A, Farber MA, Marston WA.J Vasc Surg. 2016 Jan;63(1):105-12. doi: 10.1016/j.jvs.2015.07.095. Epub 2015 Sep 26.PMID: 26412436



Non-invasive in vivo characterization of human carotid plaques with acoustic radiation force impulse ultrasound: comparison with histology after endarterectomy.



Czernuszewicz TJ, Homeister JW, Caughey MC, Farber MA, Fulton JJ, Ford PF, Marston WA, Vallabhaneni R, Nichols TC, Gallippi CM.Ultrasound Med Biol. 2015 Mar;41(3):685-97. doi: 10.1016/j.ultrasmedbio.2014.09.016. Epub 2015 Jan 22.PMID: 25619778 



Race and gender affect outcomes of lower extremity bypass.



Jain AK, Kalbaugh CA, Farber MA, Marston WA, Vallabhaneni R.J Vasc Surg. 2014 Nov;60(5):1275-1281. doi: 10.1016/j.jvs.2014.04.069. Epub 2014 Jun 20.PMID: 24953897



"Off-the-shelf" devices for complex aortic aneurysm repair.



Farber MA, Vallabhaneni R, Marston WA.J Vasc Surg. 2014 Sep;60(3):579-84. doi: 10.1016/j.jvs.2014.03.258. Epub 2014 May 3.PMID: 24797555



Debate: whether young, good-risk patients should be treated with endovascular abdominal aortic aneurysm repair.



Vallabhaneni R, Farber MA, Schneider F, Ricco JB.J Vasc Surg. 2013 Dec;58(6):1709-15. doi: 10.1016/j.jvs.2013.09.017.PMID: 24280332



Part one: for the motion. young patients with good risk factors should be treated with EVAR.



Vallabhaneni R, Farber MA.Eur J Vasc Endovasc Surg. 2013 Dec;46(6):614-7. doi: 10.1016/j.ejvs.2013.09.020. Epub 2013 Sep 25.PMID: 24094940 



The GORE(®) TAG(®) thoracic endoprosthesis.



Vallabhaneni R, Farber MA.Expert Rev Med Devices. 2013 Mar;10(2):161-5. doi: 10.1586/erd.12.80.PMID: 23480084 



Moving into the paravisceral aorta using fenestrated and branched endografts.



Farber MA, Vallabhaneni R.Semin Vasc Surg. 2012 Dec;25(4):193-9. doi: 10.1053/j.semvascsurg.2012.09.003.PMID: 23206565



Iliac artery recanalization of chronic occlusions to facilitate endovascular aneurysm repair.



Vallabhaneni R, Sorial EE, Jordan WD Jr, Minion DJ, Farber MA.J Vasc Surg. 2012 Dec;56(6):1549-54; discussion 1554. doi: 10.1016/j.jvs.2012.05.089. Epub 2012 Sep 7.PMID: 22960023



Early protection and compression of residual limbs may improve and accelerate prosthetic fit: a preliminary study.



Duwayri Y, Vallabhaneni R, Kirby JP, Mueller MJ, Volshteyn O, Geraghty PJ, Sicard GA, Curci JA.Ann Vasc Surg. 2012 Feb;26(2):242-9. doi: 10.1016/j.avsg.2011.08.001. Epub 2011 Nov 1.PMID: 22050879



Transient cortical blindness after thoracic endovascular aneurysm repair.



Vallabhaneni R, Jim J, Derdeyn CP, Sanchez LA.J Vasc Surg. 2011 May;53(5):1405-8. doi: 10.1016/j.jvs.2010.11.101. Epub 2011 Jan 26.PMID: 21276688



Open techniques for arch vessel reconstruction during thoracic endovascular aneurysm repair (TEVAR).



Vallabhaneni R, Sanchez LA.J Vasc Surg. 2010 Oct;52(4 Suppl):71S-6S. doi: 10.1016/j.jvs.2010.06.146. Epub 2010 Aug 17.PMID: 20724096 



Increased interactive format for Morbidity & Mortality conference improves educational value and enhances confidence.



Prince JM, Vallabhaneni R, Zenati MS, Hughes SJ, Harbrecht BG, Lee KK, Watson AR, Peitzman AB, Billiar TR, Brown MT.J Surg Educ. 2007 Sep-Oct;64(5):266-72. doi: 10.1016/j.jsurg.2007.06.007.PMID: 17961883


Ratings and reviews

  • Provider explained things understandably

    4.7
  • Provider listened carefully

    4.8
  • Provider gave easy to understand instructions

    4.8
  • Provider knew medical history

    4.7
  • Provider showed respect

    4.8
  • Provider spent enough time with patient

    4.7
  • Aug 5, 2021

    They are very understanding and helping me with my needs always with kindness.

  • Aug 3, 2021

    Dr. Vallabhaneni is wonderful. (And staff).

  • May 18, 2021

    Dr. Vallabhaneni was terrific! As during the previous in-person initial examination, he made me feel very comfortable.