SM
Shree Mandadi · AI
Online
Three companies founded, self-funded, and architected from zero. These reflect genuine conviction about where healthcare infrastructure, regulated collaboration, and clinical AI are going.
Built a real-time collaboration platform from zero for regulated industries - purpose-designed for controlled persistence. Multi-tenant conferencing, selective recording pipelines, secure clinical workflows. Evolved into structured physician case review, seeding the clinical platform that followed.
Founded and built a document-driven platform enabling structured second-opinion workflows between patients, physicians, and institutions - asynchronous, multi-jurisdictional, HIPAA + NMC compliant. Dual payment rails (Stripe and Razorpay), e-signature, AI-assisted coordination with human medical authority preserved by architecture.
Founding and building a modular health data platform designed to replace legacy EHR systems - FHIR R4 APIs as the interoperability backbone, microservice architecture, real-time analytics, lab/imaging/pharmacy integrations. Clinician-first. Compliance-structural. The operating backbone healthcare deserves.
Complete AI operating environments - not LLM integrations. Enterprise infrastructure: agents that execute tools, orchestrate workflows, maintain memory, operate under policy governance. Orchestration frameworks, tool execution layers, MCP-style architectures.
Simultaneous production environments across AWS, Azure, and GCP. Docker-centric, self-hosted philosophy. Operational clarity over tooling complexity. Kubernetes when scale genuinely demands it - not by default.
HIPAA, PCI DSS, SOC 2, ISO 27001, ISO 42001 - architectural, not procedural. 31-policy clinical governance library and 13-policy HIPAA bundle built in-house. Compliance cannot be toggled off.
Full stack: clinical data workflows, medical records, second-opinion platforms, billing, interoperability. Document-driven workflows, asynchronous collaboration - aligned with global healthcare regulatory realities.
Competes with managed platforms. Dual-rail architecture for international collections and domestic payouts. Full audit trail, strict security, financial compliance in every transaction path. Own your rails when Stripe ends.
Kafka and NATS for durable messaging. Temporal for workflow orchestration with replay. Distributed state management with explicit consistency guarantees. Systems that recover gracefully when components fail.
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