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Taking on new projects

Senior AIengineering,without the agency.

We build AI agents, apps and complete products for doctors, clinics, nurses and founders. A small, senior-led team works with a fleet of AI agents, so you get the output of a 20-person agency and talk directly to the people building your product.

Led by Nikhil Narayan, building for US clients since 2005 · We reply by email · Free 30-minute Zoom call, no obligation


2005
Building software for US clients ever since
37+
Health products shipped for Health.AI, Palo Alto
20+
Years our founder has been building software
30+
Products of our own, built or in progress

Built for clients including

Michael Greenhalgh Pacific Hyperbarics Cypress Coast Hyperbarics HealthO2 Health.AI clinics Dr Moe Shammaie Victoria Powell Dr. Louise Jakubik Patricia Ann Bemis Nancy L. Lasch OptaGlobal
Three colleagues at a laptop

Why it works now

A small, senior-led team. A fleet of AI agents.

AI agents now write, test, review and document code, research markets and draft content. Directed by a team whose founder has 20 years of building, they compress months of agency work into weeks.

The usual agency

  • 15 to 20 people across design, development, QA and marketing
  • Account managers between you and the people building
  • Months before you see working software
  • Big fixed quotes, and every change billed extra
  • Your idea filtered through many hands

Generation AI How we work

  • The output of a large agency, from a small, senior-led team
  • You talk directly to the people building your product
  • Working software within days, a demo every week
  • Pay for time used, at a fraction of agency cost
  • Your idea understood, questioned and improved
Our teamEngineers · AI agents · senior review

Every role on a product team, covered by our engineers and AI agents, with senior review on everything that ships.

  • Product manager
  • UX & UI design
  • Frontend
  • Backend
  • Mobile
  • Database
  • DevOps & cloud
  • QA & testing
  • Security review
  • AI / ML
  • Integrations
  • Technical writing
  • SEO
  • Content
  • Marketing
  • Support

Precision

Precision is not a feature. It is a habit.

Fast is easy with AI. Right is not. That is why every project has a senior engineer accountable for it, weekly demos you can click, and documentation your next hire can read.

Selected work

Live sites and products, for named clients.

Click through and use them. These are real businesses, most of them in the US.

All 19 projects
michaelgreenhalgh.com
MichaelGreenhalgh.com, screenshot

MichaelGreenhalgh.com

Michael Greenhalgh · Founder, Health.AI · Palo Alto

The personal site of Health.AI's founder, plus the books we ghostwrite for him and his complete PR.

WebsiteGhostwritingPR

Visit michaelgreenhalgh.com

pacifichyperbarics.com
Pacific Hyperbarics, screenshot

Pacific Hyperbarics

Physician-led HBOT clinics · California & Oregon

A multi-location website network for physician-led hyperbaric oxygen therapy clinics, from San Diego to Madras, Oregon.

Website networkSEO

Visit pacifichyperbarics.com

vp-medical.com
VP Medical, screenshot

VP Medical

Victoria Powell · Legal nurse consultant

Legal nurse consulting for employees, attorneys and individuals with complex medical concerns.

Website

Visit vp-medical.com

shapelyroyal.com
Shapely Royal, screenshot

Shapely Royal

Nancy L. Lasch · Founder & CEO · Ohio, USA

Designer window crowns, frames and cornices for the home. We helped shape the idea and built the brand, website and app, with SEO and social media marketing.

BrandWebsiteAppMarketing

Visit shapelyroyal.com

curemybills.com
CureMyBills, screenshot

CureMyBills

Michael Greenhalgh · Founder, Health.AI · Palo Alto

"2 minutes could save you thousands." AI checks a medical bill for duplicate charges, upcoding and other errors in about two minutes.

AI productWeb app

Visit curemybills.com

private
HBOT Refer, screenshot

HBOT Refer

Pacific Hyperbarics · Referral portal for doctors

Doctors refer a patient to the clinic network in under a minute: nearest clinic by ZIP code, AI form filling and the Letter of Medical Necessity generated automatically.

Clinic softwareAI

Live · sign-in required · demo on request

Michael Greenhalgh

Michael Greenhalgh

Founder, Health.AI · Palo Alto, California

Healthcare

Built for doctors, nurses and clinics.

We are the technology team behind Health.AI in Palo Alto, where we have shipped dozens of health products: patient AI, clinic software, referral portals and a multi-location clinic network. A single practice gets the same team.

Nancy L. Lasch

In a client's words

“Nikhil was instrumental in creating Shapely Royal. He helped me shape my idea and suggested substantial improvements, then helped me register the new company and secure investment. He designed the logo, built the website and the app, and handled our SEO and social media marketing.”

Read the full testimonial

I am very picky and not easy to work with, and I am impatient: I like things done fast. Many others could not keep up with my demands and my vision. Nikhil has been very patient. He listens until he truly understands me, and he has met my standards. And he keeps surprising me with how quickly he delivers.

He helped me launch two companies from scratch, at a fraction of what US firms had quoted. He puts in extra hours, gives honest advice, corrects my mistakes and always sees things from my point of view. Kudos to him. He is a lifelong business and technical partner for me.

Nancy L. LaschFounder & CEO, Shapely Royal / Top Banana LLC · Ohio, USA

How we work

From first email to live product.

  1. 1

    Talk

    You email us your idea. We reply, and meet on a free Zoom call if it helps.

  2. 2

    Plan

    We question, improve and write a clear plan with milestones and a quote.

  3. 3

    Build

    Fast cycles with AI agents. You see working software every week.

  4. 4

    Launch

    Live product, real users, analytics and documentation.

  5. 5

    Grow

    New features, AI, SEO and marketing, for as long as you need.

Ways to work with us

Start small. Scale when it works.

No long lock-in. Start with a short scoping sprint, see the work, then move to a monthly engagement.

Questions

What clients ask first.

Something else on your mind? Ask us directly.

Talking a project through, laptop open
Can a small senior team really match a 20-person agency?

For building and launching products, yes. AI agents now do much of the coding, testing, documentation, research and content work. Our engineers direct them, and our founder reviews the work and makes the key decisions. For very large systems we also help you hire and lead your own team.

Who will I actually work with?

The engineers building your product, and our founder, Nikhil Narayan, who oversees every project. You talk to them directly, with no account managers in between.

You are based in India. How does the time difference work?

We work remotely and arrange an overlap with your business hours for each engagement: Zoom calls, demos and urgent fixes happen in your day. You get regular progress updates and a working demo every week.

Who owns the code?

You do. The code, designs and IP you pay for are assigned to you, and everything lives in your own accounts: hosting, domains, app stores and repositories.

Do you sign NDAs and contracts?

Yes. Generation AI is a registered company. We sign an NDA before you share anything sensitive, and every engagement has a written agreement covering scope, IP and confidentiality.

How do we start?

Email us a few lines about your idea, or use the form. We reply personally by email with honest thoughts and a suggested first step, often a small paid scoping sprint so you can judge our work before committing. If it helps, we meet on a free 30-minute Zoom call.

Next step

Tell us what you want to build.

Email us and our founder replies personally, with a free 30-minute Zoom call if it helps. Honest advice, a rough plan and a quote, with no obligation.

Start a project → NDA available before you share anything
Start a project →