Dr. Karmegam trained in the U.K. and Australia for 3 years before moving to the States. He completed his Internal Medicine Residency at the University of NV School of Medicine and then worked as Asst. Prof. of Medicine at the University of AZ College of Medicine. He completed his Nephrology and Interventional Nephrology training in Dallas-Ft. Worth, TX. He is currently the Program Director for the North Texas Medical City Internal Medicine Residency Program in Arlington, TX.