Staff at office is very rude and do not respond to your call or even if you leave message and they say they check message frequently. Receptionist is very rude. If you need certification or approval, you have to visit the doctor untill then just wait. Other doctors gives it on phone. I faxed several times and did not answered; I have to go personally to the office to find out what was wrong and came to know have to wait till visit. They never inform you for anything as if local call costs too much. Doctor doesn't care for such service. His knowledge is good but Staff service is very bad.