The 20 Best Spasmodic Dysphonia Doctors Near Me in Baltimore, MD

Find the Top Spasmodic Dysphonia Experts and Specialists

The 20 Best Spasmodic Dysphonia Doctors near Baltimore, MD

Last Updated: 02/22/2026

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MediFind found 27 doctor with experience in Spasmodic Dysphonia near Baltimore, MD. Of these, 18 are Experienced, 4 are Advanced, 4 are Distinguished and 1 are Elite.

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27 providers found
    Lee M. Akst
    Elite in Spasmodic Dysphonia
    Otolaryngology
    Elite in Spasmodic Dysphonia
    Otolaryngology

    Johns Hopkins Outpatient Center

    601 North Caroline Street, Floor 6, Floor 6, 
    Baltimore, MD 
     (0.1 miles away)
    Languages Spoken:
    English

    Lee Akst, M.D., specializes in treating the larynx (voicebox), in particular the treatment of voice and swallowing disorders. He is a leading laryngologist in office-based procedures such as vocal fold injection augmentation, pulsed KTP laser treatment, and laryngeal botox injection. In the operating room, Dr. Akst specializes in phonosurgery for the treatment of vocal cord disease, with emphasis on voice restoration and improvement. A strong focus of his practice involves the use of pulsed angiolytic lasers, which allow for subspecialized care of laryngeal papillomas, laryngeal dysplasia, and early vocal cord cancers while preserving the quality and strength of the voice. Dr. Akst is a national leader in the field of laryngology and serves in leadership roles for the American Laryngological Association, the American Broncho-Esophagological Association, and the American Academy of Otolaryngology-Head and Neck Surgery. He lectures extensively on the treatment of laryngeal disease, teaching other physicians how to care for patients with voice and swallowing concerns. His research interests include the development of robotic laryngeal surgery, the study of voice and swallowing complaints in the elderly, and the advancement of pulsed lasers for the treatment of laryngeal diseases with a focus on leukoplakia. This provider is registered with the Florida Department of Health to perform telehealth services for patients in Florida. Dr. Akst is rated as an Elite provider by MediFind in the treatment of Spasmodic Dysphonia. His top areas of expertise are Spasmodic Dysphonia, Laryngitis, Perichondritis, Endoscopy, and Laryngectomy.

    Alexander Hillel
    Distinguished in Spasmodic Dysphonia
    Otolaryngology
    Distinguished in Spasmodic Dysphonia
    Otolaryngology

    Johns Hopkins Outpatient Center

    601 North Caroline Street, Floor 6, Floor 6, 
    Baltimore, MD 
     (0.1 miles away)
    Languages Spoken:
    English

    Alexander Hillel specializes in the medical and surgical management of patients who have scar tissue blocking their larynx and/or trachea, a condition called laryngotracheal stenosis. This condition occurs in patients who have had prolonged intubation, an autoimmune disease or a rare disease called idiopathic subglottic stenosis. He also treats patients with voice and throat problems, including spasmodic dysphonia and swallowing difficulty. After he earned his medical degree from the Tulane University School of Medicine, Dr. Hillel completed his residency in otolaryngology–head and neck surgery at the Johns Hopkins University School of Medicine and a fellowship in laryngology and airway surgery at the Emory Voice Center. Dr. Hillel directs a laboratory that seeks to better understand why scar forms in the larynx and trachea. In an effort to improve treatment, he and his team investigate the relationship between the immune system, bacteria and other antigens and scar formation in the airway. He has led a number of clinical trials to improve treatment for subglottic stenosis, including the first interventional study for idiopathic subglottic stenosis. Researchers in Dr. Hillel’s lab are also testing drugs that may halt the progression of, or reverse, scar formation, and they have engineered a drug-eluting stent that is being tested to translate to patients with subglottic stenosis. He holds sponsored grants to conduct his research from the National Institutes of Health, surgical foundations and the medical device industry. In addition to clinical and research work, Dr. Hillel has a leadership role within the Department of Otolaryngology–Head and Neck Surgery, serving as the vice director of education. Dr. Hillel is rated as a Distinguished provider by MediFind in the treatment of Spasmodic Dysphonia. His top areas of expertise are Spasmodic Dysphonia, Subglottic Stenosis, Perichondritis, Laryngectomy, and Endoscopy.

    Simon R. Best
    Distinguished in Spasmodic Dysphonia
    Otolaryngology
    Distinguished in Spasmodic Dysphonia
    Otolaryngology

    Johns Hopkins Outpatient Center

    601 North Caroline Street, Floor 6, Floor 6, 
    Baltimore, MD 
     (0.1 miles away)
    Languages Spoken:
    English

    Laryngologist Simon Best specializes in voice and airway disorders, including the comprehensive care of professional voice-users and performers. He treats patients diagnosed with recurrent respiratory papillomatosis (RRP), vocal cord paralysis, laryngeal cancer, precancerous vocal cord dysplasia, benign laryngeal lesions (polyps, cysts, nodules), and laryngeal and tracheal stenosis. He has expertise in the operative management of vocal cord disorders, including Blue Light laser surgery and office-based management of vocal cord papilloma, dysplasia and vocal cord paralysis. Dr. Best earned a medical degree from the Yale School of Medicine and completed residency training in Otolaryngology–Head and Neck Surgery at the Johns Hopkins University School of Medicine. He undertook fellowship training in laryngology at Massachusetts General Hospital. Dr. Best has a particular clinical and research interest in recurrent respiratory papillomatosis and sees patients from across the country for specialized care for this disorder. He offers operative and office-based laser for papilloma, utilizing the Blue Light laser, which allows for precise excision of papilloma while preserving underlying vocal function. Dr. Best is also a pioneer in the adjuvant use of bevacizumab for RRP, helping many patients break the cycle of repeated surgeries. The Best Laboratory studies RRP and the development of novel immunotherapies to target the underlying viral infection. This research is conducted in collaboration with the head and neck cancer and cervical cancer research groups at Johns Hopkins, which also study human papillomavirus-related diseases. In addition, Johns Hopkins is a site for ongoing clinical trials in DNA immunotherapy, the goal of which is to eliminate the causative viral infection that leads to RRP. Dr. Best is rated as a Distinguished provider by MediFind in the treatment of Spasmodic Dysphonia. His top areas of expertise are Laryngeal Nerve Damage, Recurrent Respiratory Papillomatosis, Spasmodic Dysphonia, Laryngectomy, and Gastrostomy.

    Learn about our expert tiers
    Wayne Koch
    Advanced in Spasmodic Dysphonia
    Otolaryngology
    Advanced in Spasmodic Dysphonia
    Otolaryngology

    Johns Hopkins Outpatient Center

    601 North Caroline Street, Floor 6, Floor 6, 
    Baltimore, MD 
     (0.1 miles away)
    Experience:
    44+ years
    Languages Spoken:
    English

    Wayne Koch is a national and international leader in head and neck oncologic surgery, caring for patients with cancers of the oral cavity, salivary gland, larynx, hypopharynx, oropharynx and thyroid. Among Dr. Koch's landmark publications are studies demonstrating how key molecular events such as p53 mutation and human papillomavirus (HPV) contribute to the development of head and neck cancer. His peer-reviewed publications include six articles in the New England Journal of Medicine. Dr. Koch is also involved in humanitarian outreach focused on training surgeons in several African nations. He has served as president of the American Head and Neck Society, the national organization of head and neck cancer surgeons in the USA. Dr. Koch is rated as an Advanced provider by MediFind in the treatment of Spasmodic Dysphonia. His top areas of expertise are Head and Neck Squamous Cell Carcinoma (HNSCC), Tongue Cancer, Human Papillomavirus Infection, Laryngectomy, and Gastrostomy.

    Distinguished in Spasmodic Dysphonia
    Distinguished in Spasmodic Dysphonia

    University Of Maryland Physicians P.A.

    16 S Eutaw St Ste 400, 
    Baltimore, MD 
     (0.7 miles away)
    Languages Spoken:
    English

    Elizabeth Guardiani is an Otolaryngologist in Baltimore, Maryland. Dr. Guardiani is rated as a Distinguished provider by MediFind in the treatment of Spasmodic Dysphonia. Her top areas of expertise are Laryngeal Nerve Damage, Spasmodic Dysphonia, Vocal Cord Dysfunction, Thyroidectomy, and Laryngectomy.

    Andrew C. Goldstone
    Advanced in Spasmodic Dysphonia
    Audiology | Otolaryngology
    Advanced in Spasmodic Dysphonia
    Audiology | Otolaryngology

    Greater Baltimore Medical Center

    6565 North Charles Street, Physicians Pavilion East - Suite 315, Physicians Pavilion East - Suite 315, 
    Towson, MD 
     (7.8 miles away)
    Languages Spoken:
    English

    Andrew Goldstone is an otolaryngologist specializing in evaluation and treatment of ear, nose and throat disorders for adult and pediatric patients. He has been practicing in Baltimore since 1991. Dr. Goldstone takes great pride in providing compassionate and comprehensive ENT care for patients of all ages. Specialty care with attention to cutting-edge therapies and new approaches while ensuring excellence through use of well-established treatments is the principle upon which he practices. His goal is to develop long-term physician-patient relationships that enhance patient satisfaction and the quality and safety of care. Dr. Goldstone is also a member of several national and local medical societies, including the American Academy of Otolaryngology-Head and Neck Surgery. Dr. Goldstone is rated as an Advanced provider by MediFind in the treatment of Spasmodic Dysphonia. His top areas of expertise are Infant Hearing Loss, DFNB1, Jones Syndrome, and Ruptured Eardrum.

    Advanced in Spasmodic Dysphonia
    Plastic Surgery | Otolaryngology
    Advanced in Spasmodic Dysphonia
    Plastic Surgery | Otolaryngology

    Johns Hopkins Univ.

    601 N Caroline St, 
    Baltimore, MD 
     (0.9 miles away)
    Languages Spoken:
    English
    Offers Telehealth

    Andrew Day is a Plastic Surgeon and an Otolaryngologist in Baltimore, Maryland. Dr. Day is rated as an Advanced provider by MediFind in the treatment of Spasmodic Dysphonia. His top areas of expertise are Tongue Cancer, Head and Neck Squamous Cell Carcinoma (HNSCC), Laryngeal Cancer, Tissue Biopsy, and Gastrostomy.

    Nancy L. Solowski
    Experienced in Spasmodic Dysphonia
    Otolaryngology
    Experienced in Spasmodic Dysphonia
    Otolaryngology

    ENTAA Care - Glen Burnie

    Glen Burnie, MD 
     (8.9 miles away)
    Languages Spoken:
    English

    Dr. Solowski received her medical degree from MCP-Hahnemann University (now Drexel University College of Medicine) in Philadelphia, Pennsylvania and did her residency training in the Department of Otolaryngology at Washington University in St. Louis. She then completed a laryngology fellowship at Medical College of Georgia at Georgia Regents University in Augusta, Georgia. She sees both pediatric and adult patients with diseases of the thyroid/parathyroid glands, sinonasal diseases, head and neck cancers, and other general Otolaryngologic disorders. She treats skin cancers and performs MOHs surgery reconstructions. Dr. Solowski also specializes in treatment and care of recreational and professional voice users, to include singers, teachers, sales personnel as well as those with swallowing difficulties and reflux disorders. Dr. Solowski is rated as an Experienced provider by MediFind in the treatment of Spasmodic Dysphonia. Her top areas of expertise are Swallowing Difficulty, Painful Swallowing, Otitis, and Patulous Eustachian Tube.

    Experienced in Spasmodic Dysphonia
    General Surgery
    Experienced in Spasmodic Dysphonia
    General Surgery

    Alan E. Oshinsky M.D.P.A.

    301 Saint Paul St Ste 612, 
    Baltimore, MD 
     (0.5 miles away)
    Languages Spoken:
    English

    Ileana Showalter is a General Surgeon in Baltimore, Maryland. Dr. Showalter is rated as an Experienced provider by MediFind in the treatment of Spasmodic Dysphonia. Her top areas of expertise are Trachoma, Laryngitis, Tinnitus, and Salivary Duct Stones.

    Experienced in Spasmodic Dysphonia
    Otolaryngology
    Experienced in Spasmodic Dysphonia
    Otolaryngology

    Alan Oshinsky, M.D., P.A.

    301 Saint Paul St Ste 612, 
    Baltimore, MD 
     (0.5 miles away)
    Languages Spoken:
    English

    Alan Oshinsky is an Otolaryngologist in Baltimore, Maryland. Dr. Oshinsky is rated as an Experienced provider by MediFind in the treatment of Spasmodic Dysphonia. His top areas of expertise are Infant Hearing Loss, Trachoma, Ozena, and Nonallergic Rhinopathy.

    Experienced in Spasmodic Dysphonia
    Otolaryngology
    Experienced in Spasmodic Dysphonia
    Otolaryngology

    Office

    16 S Eutaw St Ste 500, 
    Baltimore, MD 
     (0.7 miles away)
    Languages Spoken:
    English

    Kyle Hatten is an Otolaryngologist in Baltimore, Maryland. Dr. Hatten is rated as an Experienced provider by MediFind in the treatment of Spasmodic Dysphonia. His top areas of expertise are Salivary Gland Tumors, Tongue Cancer, Laryngeal Cancer, Laryngectomy, and Gastrostomy.

    Experienced in Spasmodic Dysphonia
    General Surgery
    Experienced in Spasmodic Dysphonia
    General Surgery

    Office

    16 S Eutaw St Ste 500, 
    Baltimore, MD 
     (0.7 miles away)
    Languages Spoken:
    English

    Rodney Taylor is a General Surgeon in Baltimore, Maryland. Dr. Taylor is rated as an Experienced provider by MediFind in the treatment of Spasmodic Dysphonia. His top areas of expertise are Sinus Cancer, Olfactory Neuroblastoma, Teratocarcinosarcoma, Laryngectomy, and Tissue Biopsy.

    Experienced in Spasmodic Dysphonia
    General Surgery
    Experienced in Spasmodic Dysphonia
    General Surgery

    Johns Hopkins Univ.

    601 N Caroline St, 
    Baltimore, MD 
     (0.9 miles away)
    Languages Spoken:
    English

    Nasir Bhatti is a General Surgeon in Baltimore, Maryland. Dr. Bhatti is rated as an Experienced provider by MediFind in the treatment of Spasmodic Dysphonia. His top areas of expertise are Chronic Rhinosinusitis with Nasal Polyps (CRSwNP), Sinusitis, Laryngeal Nerve Damage, Mastoidectomy, and Gastrostomy.

    Experienced in Spasmodic Dysphonia
    Otolaryngology
    Experienced in Spasmodic Dysphonia
    Otolaryngology
    601 N Caroline St, Johns Hopkins Outpatient Center, 
    Baltimore, MD 
     (0.9 miles away)
    Languages Spoken:
    English

    Mazin Merdad is an Otolaryngologist in Baltimore, Maryland. Dr. Merdad is rated as an Experienced provider by MediFind in the treatment of Spasmodic Dysphonia. His top areas of expertise are Thyroid Cancer, Salivary Gland Tumors, Parathyroid Cancer, Laryngectomy, and Thyroidectomy.

    Experienced in Spasmodic Dysphonia
    Otolaryngology
    Experienced in Spasmodic Dysphonia
    Otolaryngology

    Johns Hopkins Children's Center

    1800 Orleans St, 
    Baltimore, MD 
     (1.1 miles away)
    Languages Spoken:
    English

    Ronit Malka is an Otolaryngologist in Baltimore, Maryland. Dr. Malka is rated as an Experienced provider by MediFind in the treatment of Spasmodic Dysphonia. Her top areas of expertise are Bell's Palsy, Facial Paralysis, Spasmodic Dysphonia, and Autonomic Neuropathy.

    Experienced in Spasmodic Dysphonia
    Experienced in Spasmodic Dysphonia

    Office

    200 E 33rd St Ste 631, 
    Baltimore, MD 
     (2.8 miles away)
    Languages Spoken:
    English

    Abraham Kazemizadeh is an Otolaryngologist in Baltimore, Maryland. Dr. Kazemizadeh is rated as an Experienced provider by MediFind in the treatment of Spasmodic Dysphonia. His top areas of expertise are Familial Deafness, Laryngitis, Infant Hearing Loss, and Tinnitus.

    Experienced in Spasmodic Dysphonia
    General Surgery
    Experienced in Spasmodic Dysphonia
    General Surgery

    Office

    200 E 33rd St Ste 631, 
    Baltimore, MD 
     (2.8 miles away)
    Languages Spoken:
    English

    Alan Shikani is a General Surgeon in Baltimore, Maryland. Dr. Shikani is rated as an Experienced provider by MediFind in the treatment of Spasmodic Dysphonia. His top areas of expertise are Familial Deafness, Trachoma, Sinusitis, Chronic Rhinosinusitis with Nasal Polyps (CRSwNP), and Endoscopy.

    Experienced in Spasmodic Dysphonia
    General Surgery
    Experienced in Spasmodic Dysphonia
    General Surgery

    Howard S Hessan M D P A

    3449 Wilkens Ave Ste 200, 
    Baltimore, MD 
     (4.4 miles away)
    Languages Spoken:
    English

    Sunny Haft is a General Surgeon in Baltimore, Maryland. Dr. Haft is rated as an Experienced provider by MediFind in the treatment of Spasmodic Dysphonia. His top areas of expertise are Laryngitis, Infant Hearing Loss, Palatopharyngeal Incompetence, Tissue Biopsy, and Gastrostomy.

    Advanced in Spasmodic Dysphonia
    Plastic Surgery | Otolaryngology
    Advanced in Spasmodic Dysphonia
    Plastic Surgery | Otolaryngology

    Greater Baltimore Medical Center Inc.

    6535 N Charles St Ste 250, 
    Towson, MD 
     (7.8 miles away)
    Languages Spoken:
    English

    Julie Winston is a Plastic Surgeon and an Otolaryngologist in Towson, Maryland. Dr. Winston is rated as an Advanced provider by MediFind in the treatment of Spasmodic Dysphonia. Her top areas of expertise are Nasal Polyps, Laryngeal Nerve Damage, Vocal Cord Dysfunction, and Spasmodic Dysphonia.

    Carole Fakhry
    Experienced in Spasmodic Dysphonia
    Otolaryngology
    Experienced in Spasmodic Dysphonia
    Otolaryngology

    Johns Hopkins Health Care & Surgery Center - Green Spring Station, Lutherville

    10803 Falls Road, Pavilion III STE 2300, Pavilion III STE 2300, 
    Lutherville, MD 
     (10.4 miles away)
    Languages Spoken:
    English, Arabic, French

    Dr. Carole Fakhry is a head and neck surgical oncologist at Johns Hopkins and treats the breadth of patients with head and neck cancers, including cancers of the tonsils, base of tongue, mouth, larynx, thyroid, salivary gland (parotid, submandibular gland) and skin cancers among others. She is the Chief of the Division of Head and Neck Surgery and Director of the Head and Neck Cancer Center. She also serves as director of the head and neck group in the Bloomberg~Kimmel Institute for Cancer Immunotherapy and the head and neck surgical oncology fellowship. She is the associate editor for Oral Oncology and serves on several editorial boards. After an undergraduate degree at Stanford University, she completed medical school, residency in otolaryngology head and neck surgery, and a fellowship in head and neck surgical oncology at Johns Hopkins. She has also received a master’s in public health from the Johns Hopkins Bloomberg School of Public Health. She is presently a professor in the Johns Hopkins Department of Otolaryngology-Head and Neck Surgery, Oncology, and Johns Hopkins Bloomberg School of Public Health Department of Epidemiology. Her research interest focuses on the role of human papillomavirus (HPV) in head and neck squamous cell cancer. She has demonstrated that the presence of HPV confers a prognostic advantage to individuals with oropharyngeal cancer and that HPV is associated with unique clinical characteristics. In addition to the clinical implications of HPV in head and neck cancer, she is co-principal investigator of a large study to understand screening individuals at “high risk” of malignancy and evaluating imaging modalities to improve diagnostics and early detection of HPV- related head and neck cancer. Dr. Fakhry is rated as an Experienced provider by MediFind in the treatment of Spasmodic Dysphonia. Her top areas of expertise are Human Papillomavirus Infection, Head and Neck Squamous Cell Carcinoma (HNSCC), Salivary Gland Tumors, Laryngectomy, and Gastrostomy.

    Showing 1-20 of 27

    Last Updated: 02/22/2026

    What is the definition of Spasmodic Dysphonia?

    Spasmodic dysphonia is difficulty speaking due to spasms (dystonia) of the muscles that control the vocal cords.

    When should I see a Spasmodic Dysphonia doctor near Baltimore, MD?

    There are various reasons why you may want to see a specialist, such as: 

    • Your primary care provider recommends it. 
    • Your condition requires expert knowledge and specialized care. 
    • Your symptoms persist or worsen despite treatment. 
    • You need specialized testing or procedures. 
    • You want a second opinion.  

    What should I consider when choosing a Spasmodic Dysphonia doctor near Baltimore, MD?

    It’s important to see a provider with expertise in your specific condition. Each provider profile in MediFind’s doctor database includes information on which conditions they treat, years of experience, research contributions, languages spoken, insurance plans accepted, and more.  

    How does MediFind rank Spasmodic Dysphonia doctors near Baltimore, MD?

    MediFind’s rankings are based on a variety of data sources, such as the number of articles a doctor has published in medical journals, participation in clinical trials and industry conferences, as well as the number of patients that provider sees for a given condition. Note that MediFind’s provider database is not based on user reviews, and providers do not pay to be included in the database. 

    What types of insurance are accepted by Spasmodic Dysphonia doctors near Baltimore, MD?

    Most profiles in MediFind’s doctor database include a list of insurance plans accepted by that provider. However, it’s a good idea to contact the provider’s office to make sure they still accept your insurance, then doublecheck by contacting your insurance plan to confirm they’re in network. 

    How can I book an appointment online with a Spasmodic Dysphonia doctor near Baltimore, MD?

    MediFind offers direct scheduling for certain providers using the “Request Appointment” button on that provider’s profile. If the schedule option is not available for a provider, tap the red “Show Phone Number” button on their profile to get their contact information. If you prefer to find providers who offer online scheduling, select “Schedules online” under the “Availability” category of the filter feature on the left side of the Spasmodic Dysphonia doctor search results page. 

    Why is it important to get a second opinion from a different Spasmodic Dysphonia doctor?

    Second opinions are an opportunity to confirm a diagnosis and its root cause, learn about alternative treatment options, or simply gain peace of mind. Many people, especially those with serious diagnoses, get second opinions so they can understand all their options and make informed decisions, so don’t hesitate to get one if you have any doubts or need more information or clarification regarding your care. Note that some insurance plans require second opinions, while others don’t cover second opinions, so be sure to confirm with your insurance provider first.   

    How can I prepare for my appointment with a Spasmodic Dysphonia doctor near Baltimore, MD?

    Prepare for your appointment by gathering the following items: 

    • Copies of medical records (dating back at least one year) 
    • Your medical history, including illnesses, medical conditions, surgeries, and other doctors you see 
    • Family history of disease 
    • List of current prescription drugs, over-the-counter medicines, vitamins, and herbal remedies or supplements including names and doses 
    • Allergies to medications, food, latex, insects, etc.  
    • List of questions and concerns 
    • Your insurance card 

    You might also contact the provider’s office to see if they offer transportation or childcare services or if you’re allowed to bring a loved one for support or to take notes during your visit. 

    What questions should I ask my Spasmodic Dysphonia doctor?

    Here are some sample questions: 

    • Can you explain in simple terms what this condition is and how it’s treated? 
    • What symptoms or side effects should I watch for? 
    • What tests will be involved, and when can I expect results? 
    • Are there other specialists I need to see? 
    • What’s the best way to reach you if I have follow-up questions? 

    How can I learn about the latest clinical trials and research advances my Spasmodic Dysphonia doctor may know about?

    MediFind’s Clinical Trials tool asks you a series of questions to help you narrow down your search by health condition, age, gender, location, how far you’re willing to travel, and more. Each question you answer filters down the number of trials until you find the ones that are most relevant to you. 

    MediFind’s Latest Advances tool features summaries of recent articles published in medical journals. We use cutting-edge technology to scour medical publication databases for the latest research advancements on any given condition, then we simplify this information in a way that’s useful and easy to understand. 

    Can I filter my search to show male or female Spasmodic Dysphonia doctors near Baltimore, MD?

    Look for the filter feature on the left side of the Spasmodic Dysphonia doctor search results page. Select “Female” or “Male” under the “Gender” category to search for female or male providers exclusively. If the “Any” option is selected, it will pull results for both male and female providers. 

    Can I filter my search to find a Spasmodic Dysphonia doctor that offers video calls?

    Look for the filter feature on the left-side of the Spasmodic Dysphonia doctor search results page. Select “Offers telehealth visits” under the Availability category to search for providers who offer virtual appointments (video calls). 

    Reviewed on: 11/11/24  

    By: MediFind Medical Staff 

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