Board Certified in Internal Medicine (Adult Medicine)
Board Certified in Pediatrics
Board Certified in Obesity Medicine
Acupuncture Detoxification Specialist
Fellow of the American College of Physicians
Fellow of the American Academy of Pediatrics

Dr. Kainkaryam

Hello and welcome! I’m Dr. Vasanth Kainkaryam — Internist, Pediatrician, husband, father, author, baker, patient, and believer that life is a mix of free will and destiny.

I created 4 Elements™ Direct Primary Care & Wellness Space for a simple reason: to help patients have a smooth experience in their journey for health and wellness.

My philosophy is that a doctor and a patient should have a direct, meaningful, and two-way relationship. Therefore, I believe in feedback, honesty, trust, learning, thinking out of the box, support, and even a little fun in our partnership to get well together.


Bableen Bajwa, APRN

Aesthetics Nurse Practitioner - Injections

Bableen has trained with some of the top leaders in Aesthetics, with Dr. Shino Bay and Dr. Thuy Doan in facial balancing, with Dr. Melissa and Dr. Sarah at the Master Lip class in London, England, and with Julie Horne, a word-renowned injector/educator, at her Lip Masterclass in Oslo, Norway.  Bableen is passionate about helping people achieve a natural youthful look.

Talia Dauphin


Talia is passionate about everything related to skin and skin care.  But when she’s not refreshing people’s skin, you may find her driving on some rugged terrains in motocross competitions.  A lover of everything outdoors, she reminds you to have fun but to wear your sunscreen.

Paula Rocha, APRN

Aesthetics Nurse Practitioner - Lasers

Paula is an experienced Nurse Practitioner who has a wide range of experience from Aesthetics to Endocrinology.  She joined the team with a focus on laser treatments including laser facials, laser hair removal, and truSculpt iD non-invasive radiofrequency fat reduction.

Anna Siolkowski

Licensed Massage Therapist

Anna is a licensed massage therapist who loves working with all types of people to help them better their musculoskeletal health and wellness.  Patients often say she gives the best massages they’ve ever had!

Paul Taft, RN

Nurse Health Coach

Paul is a Registered Nurse, CrossFit Level 1 instructor, and has completed certifications in Precision Nutrition.  His goal is to bridge the gap between healthcare and fitness.

Deborah Maccarone, MA, CH

Clinical Hypnotherapist

Deb is a former school psychologist who entered the world of clinical hypnotherapy first as a patient and subsequently as a practitioner.  She believes that perception greatly impacts our way of life, and that learning to change those perceptions and our body’s physiological response to those perceptions can be very healing.  

Moshe (Moe) Karp, MPH

Patient Success and Community Engagement Manager

Moe completed his medical school and Master’s in Public Health from St. George’s University in Grenada and has worked as a paramedic for over 10 years.

*Moe is a Physician by education but not yet licensed to practice medicine in the United States.

Nidhi Anchan

Medical Operations Externpreneur/Assistant

Nidhi completed her medical school in the United Arab Emirates and has worked in the hospital system and Intensive Care Units there for two years prior to moving to the US.

*Nidhi is a Physician by education but not yet licensed to practice medicine in the United States.

Prakash CVS, PhD

Administrative/Compliance Assistant

Prakash was formerly a Director at the Indian Space Research Organization division known as Antrix.  Subsequent to retirement, he decided to work for his son-in-law at 4 Elements to keep busy and constantly learn new things.


Engagement is the first step in any relationship. In our practice, we give you the option to engage however you would like: longer face-to-face visits, video, phone calls, email, or texting. What is most important in health is not what happens at the doctor’s office, but rather the engagement in between.


Education is fundamental to health. All too often patients are lectured, “lose weight, exercise more, eat healthy” with little or no education on how to actually accomplish their goals. In our practice, we take the time to educate and ensure all your questions are appropriately answered.


Empowerment denotes who drives the healthcare experience. In our practice, we believe it’s you! Our goal is to ensure that you are empowered to make your own health care decisions. We provide our patients choices and options to integrate modalities of allopathic, integrative, and other approaches.


Encouragement is the recipe to persistence. The healthcare system is intimidating to navigate, and through this individualized, relationship-based care, we provide a supportive and safe environment. We believe that positivity and encouragement are the solutions to sustaining wellness.