Tired that won’t clear
Sleep, stress, labs, or something else—you want a workup, not a brush-off.
Primary care · Telehealth
Everyday care with a clinician who knows your whole picture
You do not need a diagnosis before you book. Primary care sorts symptoms, prevention, labs, and specialty questions into one plan—across California, Texas, Pennsylvania, and Florida.
Trusted by 3,000+ adults for physician-led care
4.9★ Google · 102 reviews · 4.8★ Klarity · 600+ reviews
6,000+ appointments · As of Oct 2026 · Same clear $149 / $149 pricing
“They cared, listened, and followed up very well. I am grateful.”
— Verified telehealth patient
- One clinician relationship—not a one-off visit for a keyword
- Prevention, sick visits, and labs in the same plan
- Specialty lanes when history says they belong
Does this sound like you?
Common reasons adults start here.
Foggy or unfocused
Thinking feels slower. You may need primary care first, or a focus evaluation next.
Labs without a plan
You have numbers—or need them—and want a clinician to interpret them.
No time for clinic wait
Scheduled telehealth that fits a workday—not an ER for non-emergencies.
Chronic issues stacking up
Blood pressure, weight, mood, sleep—someone who holds the thread.
Not sure where to start
Primary care is the door. Specialty lanes open when they fit.
How care starts
Three calm steps from first talk to a plan.
Tell us what’s going on
Symptoms, history, what you’ve already tried—no form dump required.
Evaluation & labs
History first. Labs when they help. Cognitive testing if focus is part of the picture.
A plan you can follow
Prevention, treatment, or a specialty lane—plain language, clear next steps.
What primary care covers here
Included in the relationship
- New symptoms and sick visits (scheduled)
- Prevention and follow-up
- Lab review and ordering when appropriate
- Chronic care monitoring
- Routing into focus, weight, or women’s/men’s lanes
Not this page
- Emergency or trauma care
- Hospital or specialist procedures
- Pharmacy medication cost
- Lab draw fees (storefront pricing)
- 24/7 walk-in urgent care
Related: Focus & attention · Weight & metabolic · Women’s health · Labs
Transparent pricing
Evaluation
$149one-time
Structured clinician visit: history, goals, plan. Same price across care lines.
Ongoing
$149/month
Messaging, follow-ups in the plan, coordination. Meds and labs separate.
A note from Dr. Sneh Pandey
“Primary care is the relationship that holds the thread—so focus, weight, hormones, and everyday symptoms don’t get treated as separate people.”
— Dr. Sneh Pandey, MD · Medical Director
Internal Medicine · Obesity Medicine. View profile →
Questions
What is primary care at Siya?
Physician-led telehealth for ongoing adult health: new symptoms, prevention, chronic follow-up, lab review, and specialty lanes when needed.
Do I start here or on a specialty page?
Symptoms first → primary care. Focus, weight, or women’s/men’s lanes open when history says they belong.
What does it cost?
$149 evaluation, then $149/month ongoing. Labs and medication separate. See Pricing.
Is this urgent or emergency care?
No. Scheduled telehealth only. Emergencies: call 911 or go to the nearest ER.
Meet the care team
Dr. Sneh Pandey, MD
Internal medicine · CA, PA, FL
Dr. Vanessa Urbina, MD
Family medicine · FL
Megan Wunderlich, FNP-C
Family nurse practitioner · PA
Ready for a clinician who holds the whole picture?
No pressure. Just a conversation about what’s going on.