Dr. Gary A. Buffington

Varghese Parambi is a Nephrologist in Great Falls, Montana. Dr. Parambi is highly rated in 25 conditions, according to our data. His top areas of expertise are Acute Kidney Failure, Chronic Kidney Disease, End-Stage Renal Disease (ESRD), and Thin Basement Membrane Nephropathy. Dr. Parambi is currently accepting new patients.

Dr. Soldyshev is a highly experienced nephrologist who has practiced since 2012. He sees patients at our Nephology Department in the Specialty Center. In 2002, Dr. Soldyshev graduated with his Medical Doctor in Internal Medicine degree from the Vinnitsa National Medical University in Vinnitsa, Ukraine. He completed a short-term fellowship for the International Public Health Summer Institute at the University of Alabama in 2001. Dr. Soldyshev finished his internship specializing in adult infectious diseases at the Vinnitsa Central City Clinical Hospital in 2003. He graduated with a Master of Public Health in Epidemiology and International Health at the University of Alabama in 2004. Dr. Soldyshev became ECFMG certified by the Accreditation Council for Medical Education in 2006. He completed the Internal Medicine Residency Program at the University of Missouri-Columbia in 2010. Then, he finished his Nephrology Fellowship at Saint Louis University in Saint Louis, Missouri. After completing his fellowship, Dr. Soldyshev joined the Great Falls Clinic team in 2012. Fun fact about Dr. Soldyshev is he can speak three languages: Ukrainian, English, and Russian. Dr. Soldyshev is highly rated in 5 conditions, according to our data. His top areas of expertise are Chronic Kidney Disease, End-Stage Renal Disease (ESRD), Acute Kidney Failure, and Renovascular Hypertension.

Lily Avgustovskiy, FNP-C, works alongside Dr. Ruslan Soldyshev in nephrology and Dr. Christopher Fukuda in urology. Lily is an experienced nurse practitioner who has treated patients since 2014 in a variety of specialties, but most recently, nephrology. She strives to advocate for her patients and support their needed aid for positive outcomes in treatment. Lily earned her Bachelor of Science in Nursing degree at East Tennessee State University in 2012. She graduated with a Master of Science in Nursing at Samford University in Birmingham, Alabama in 2014. Since moving to Great Falls in 2016, she has practiced in different specialties at a local healthcare facility to hone her skills as a nurse practitioner, including the urgent care setting and an employee health clinic, before discovering her passion and accepting a position in nephrology in 2019. Prior to her nurse practitioner career, Lily also worked as a surgical technologist and registered nurse. In her free time, Lily enjoys spending time with family and exploring Montana. She is an avid hockey and football fan. Dr. Avgustovskiy is highly rated in 14 conditions, according to our data. Her top areas of expertise are Thin Basement Membrane Nephropathy, Acute Kidney Failure, Diabetic Nephropathy, and IgA Nephropathy.