University of Sheffield School of Medicine graduate Bhupinder Khehar, MD has run a solo internal medicine practice at 3260 Third Avenue in Hillcrest since completing his Scripps Mercy residency in 1998, and continues as clinical faculty teaching current residents in the Scripps Mercy internal medicine program. Hospital admissions from the office route directly to Scripps Mercy Hospital San Diego where Dr. Khehar rounds on his own admitted patients rather than handing off to a hospitalist service. Multilingual consults in Hindi, Punjabi, and Swahili serve first-generation South Asian and East African patients inside the Third Avenue medical corridor without requiring interpreter services. Cardiac workups for chest pain, arrhythmia, heart failure, and peripheral vascular disease refer to San Diego Heart and Vascular Associates within the same Hillcrest specialist cluster. The practice scope spans office visits, inpatient rounding, skilled nursing facility coverage, acute care consults, and hospice continuity for an aging primary care panel carried continuously since 1998. Complex multisystem cases — decompensated diabetes with CKD stage 4, resistant hypertension with secondary etiology workup, and end-stage heart failure on maximal medical therapy — stay under direct management across every inpatient and outpatient transition.