Summary
Academic internal medicine physician and clinical assistant professor who also builds the software his clinics run on. Ten years of inpatient medicine in U.S. community hospitals; a translational research background that took an amino-acid formulation from the Ussing chamber to a Nestle-licensed product; a seven-clinic dermatology group in India that serves as a live environment for shipping and testing clinical software. Builds solo with Claude Code CLI, writing the prompts and owning the clinical logic, the human-in-the-loop boundaries, the safety rules for what generative output may say to a patient, and the compliance decisions.
Target roles: Clinical AI evaluation and safety roles; Medical director of clinical AI; AI research faculty; Technical cofounder.
Clinical AI and Software
Each system was specified, built and shipped solo, with AI-assisted development (Claude Code CLI and agentic tooling) and no other engineers. Rejeesh writes the prompts and owns the clinical logic, the autonomy boundaries and the compliance decisions.
Authorship across projects, oldest to newest: Designed and built -> Built and shipped -> Built and shipped -> Built and maintains.
SuperHuman: Clinical-intelligence tool for GLP-1 and metabolic care
Status: In pilot, 2026. Role: Designed and built. Stack: Next.js, Supabase, PostgreSQL, Vultr, AWS, HIPAA-conscious architecture.
- What it does: Consolidates labs, wearable data and prescription history into physician-reviewed guidance.
- AI's role: Author of the clinical logic and the autonomy boundary, meaning what the tool decides on its own and what requires physician sign-off.
- Safety and compliance: Every piece of generated guidance is checked against source data during the pilot.
- Safety and compliance: Compliance decisions: BAA-covered data boundary, synthetic-data development, and a decision-support design built to meet the FDA's non-device clinical decision support criteria, not an autonomous diagnostic device.
- Deployment: Piloting inside the DermaVue clinic network.
DermaVue Clinic OS: Patient engagement and CRM platform
Status: Live across seven clinics, 2025 to present. Role: Built and shipped. Stack: NestJS, Next.js, Python, Twenty CRM, Chatwoot, WhatsApp Business API, Docker on Linux VPS.
- What it does: Patient messaging for all seven clinics across WhatsApp, Instagram and Facebook Messenger, with automatic lead qualification into one CRM.
- AI's role and safety: Designed the automated responder "Priya", including forbidden clinical topics and red-flag escalation rules, with live log review each release.
- What it does: Inbound lead integration via webhooks with clinic routing and de-duplication.
DermaVue Commerce: Online store for the group's skincare line
Status: Shipped, 2026. Role: Built and shipped. Stack: Astro, Vendure, PostgreSQL.
- What it does: Search-optimized storefront with an ingredient database linking each product to the evidence behind its formulation.
dermavue.com: Public clinical web platform
Status: Live. Role: Built and maintains. Stack: WordPress (PHP, hand-coded templates), Astro, schema.org JSON-LD, Search-indexing automation. URL: https://dermavue.com
- What it does: Condition, procedure and location pages with hand-coded medical schema and answer-engine-oriented structure.
The safety-design decisions below are self-reported. Unlike the licenses and publications elsewhere on this page, no external body yet certifies clinical-AI autonomy-boundary design of this kind.
Technical Capabilities
- AI-assisted development
- Claude Code CLI; Agentic workflows
- Software
- TypeScript and Node (Next.js, NestJS, Astro); PHP (WordPress); Python; PostgreSQL; Docker; Linux VPS (Hetzner, Vultr); AWS
- Health data and compliance
- HL7 FHIR R4 and SMART on FHIR; HIPAA program design (BAA boundaries, synthetic-data development, decision-support design built to meet the FDA's non-device clinical decision support criteria); Twenty CRM, Chatwoot, WhatsApp Business API
- Clinical systems (daily attending user)
- Epic (2013 to present); Meditech (2016 to present); Cerner (2018 to 2021)
- Research methods
- Ussing-chamber electrophysiology; Ion-transport and radioisotope flux studies; Confocal microscopy; Immunohistochemistry; BrdU labeling; SPSS; Origin
Clinical Practice
Attending Physician, Hospital Medicine, and Clinical Assistant Professor
Pullman Regional Hospital and WSU Elson S. Floyd College of Medicine, Pullman, WA. 2022 to present.
- Full-scope adult inpatient medicine.
- Core teaching faculty for the internal medicine residency (Best Resident Teacher of the Year, 2024).
- Daily Epic, Meditech and Cerner user since 2013.
Hospitalist and Associate Director, Inpatient Rehabilitation Unit
Lourdes Medical Center, Pasco, WA. 2019 to 2025.
- Open-ICU community hospital medicine.
- Ran the inpatient rehabilitation unit and its care-transition and documentation processes.
Hospitalist
Confluence Health, Wenatchee and Moses Lake, WA. 2016 to 2019.
Hospice Physician (part-time)
Chaplaincy Health Care, Richland, WA. 2022 to present.
Entrepreneurship
Co-Founder and Director, DermaVue Skin & Hair Clinics
Kerala and Tamil Nadu, India. 2017 to present.
- Seven dermatology, cosmetology, hair-restoration and laser clinics (Thiruvananthapuram, Kollam, Thiruvalla, Kottayam, Kochi, Thrissur, Coimbatore).
- 100+ clinicians and staff; 7,200+ public patient reviews.
- Strategy, clinical standards, product and technology; software built in-house under his direction.
- Medical Director of the SuperHuman Program: physician-supervised GLP-1 metabolic-health protocols with Indian BMI eligibility thresholds.
Co-Founder and Director, EBC Pharmaceuticals
India. 2017 to present.
- Specialty pharma serving orthopedic, rheumatology and dermatology prescribers.
Research
Postdoctoral research scholar at the University of Florida (2011 to 2013). The team's intestinal-transport work produced enterade, an amino-acid rehydration formulation funded by NASA/NSBRI, licensed worldwide to Nestle Health Science (2018), and studied at Harvard, Dana-Farber, the U.S. Army and the University of Kentucky. Co-investigator on the first randomized trial in chikungunya arthritis (120 patients, GCP conditions), now cited in UpToDate and national guidelines.
Postdoctoral Research Scholar
University of Florida, Department of Radiation Oncology, Gainesville, FL. 2011 to 2013.
- Intestinal nutrient-electrolyte transport after radiation and chemotherapy; work that led to the amino-acid formulation enterade.
- Ussing-chamber electrophysiology, radioisotope flux, confocal microscopy and immunohistochemistry.
223 citations, h-index 6, i10-index 6, 96 citations since 2021 (Google Scholar, September 2026).
Selected publications
- Kanu EO, Kim DK, Menon R, Burke C, Vicknair N. Euglycemic ketoacidosis after the addition of a glucagon-like peptide-1 receptor agonist: a case report. Annals of Internal Medicine: Clinical Cases. 2024;3(6):e230565. doi:10.7326/aimcc.2023.0565. 5 citations.
- Yin L, Vijaygopal P, MacGregor GG, Menon R, et al. Glucose stimulates calcium-activated chloride secretion in small intestinal cells. American Journal of Physiology - Cell Physiology. 2014;306(7):C687-C696. doi:10.1152/ajpcell.00174.2013. PMID 24477233. 44 citations. F1000Prime recommended.
- Padmakumar B, Jayan JB, Menon RMR, et al. Comparative evaluation of four therapeutic regimes in chikungunya arthritis: a prospective randomized parallel-group study. Indian Journal of Rheumatology. 2009;4(3):94-101. doi:10.1016/S0973-3698(10)60189-6. 70 citations. First randomized trial in chikungunya arthritis; equal contribution.
Education and Credentials
- Residency, Internal Medicine, University of North Dakota, Fargo, ND (2013 to 2016).
- Postdoctoral Research Scholar, Radiation Oncology, University of Florida, Gainesville, FL (2011 to 2013).
- MBBS, T.D. Medical College, University of Kerala, Alappuzha, India (2003 to 2009). Rotating internship 2008 to 2009.
Board certification and licensure
- American Board of Internal Medicine, Internal Medicine (2016). Verify
- ECFMG Certification (2012). Source
- Washington physician license (active), Washington Medical Commission. Verify
- Oregon physician license (active), Oregon Medical Board. Verify
- California physician license (active), Medical Board of California. Verify
Teaching and Recognition
- Clinical Assistant Professor, Elson S. Floyd College of Medicine, Washington State University (2022 to present).
- Adjunct Clinical Faculty, Pacific Northwest University of Health Sciences (2018 to present).
- Editorial board member, Three medical journals.
- Ad hoc reviewer, Journal of General Internal Medicine; International Journal of Clinical Practice.
- Abstract judge, American College of Physicians Internal Medicine Meeting (2019).
- Best Resident Teacher of the Year, WSU Pullman Internal Medicine Residency (2024).
- U.S. permanent residence in the EB-1A Extraordinary Ability classification. Granted on documented original contributions, publications and citations, and editorial and judging service.
- F1000Prime recommendation, F1000Prime (2014). For Am J Physiol Cell Physiol 2014;306:C687-C696.
- NSBRI SMARTCAP team award, National Space Biomedical Research Institute (2012).
- Celebration of Excellence, UF Shands Cancer Center (2012).