Clinically, I am a provider in advanced chronic kidney disease, or CKD, kidney failure and end stage kidney disease, or ESKD. I have established models for enhanced patient-centered care for those with CKD to ESKD transition, with special emphasis on the patients who are at the most fragile stage of CKD. My overall goal is to enhance patient-centered approaches that can lead to greater patient satisfaction in medical therapies.In academic realm, I am a professor of medicine in the University of Florida Division of Nephrology, Hypertension & Renal Transplantation and director of the advanced CKD and Home Dialysis Program. I received my medical degree from Gujarat University in India, received specialized training in internal medicine at University of Arkansas for Medical Sciences and Gujarat University, and received my nephrology trainings from University of Toronto and Maharashtra University of Health Sciences in India. I am board certified in nephrology and internal medicine by the American Board of Internal Medicine.Finally, I am a staff physician with the VA North Florida/South Georgia Veterans Health System. I serve as the chairperson of the National VA Peritoneal Dialysis Workgroup and the co-chair of the VA Peritoneal Dialysis Choice, Access and Quality Workgroups. My research is focused in the area of advanced chronic kidney disease, high morbidity and mortality associated with CKD, transition to ESRD, and home dialysis therapies with ongoing projections in translational, clinical and health services research.