Tercet Advisory was founded by Niranjan Seshadri on a conviction the market has been slow to absorb. AI governance cannot be separated from the clinical, legal, and technical realities it claims to govern. Most oversight work in this space operates at the altitude of principles and frameworks, necessary but insufficient for the organizations that need the most help, the ones deploying AI where human outcomes hang on decisions made by systems that cannot explain themselves and institutions that have not yet learned to oversee them.

Niranjan Seshadri, MD, JD, LL.M

Interventional cardiologist, attorney, and healthcare AI founder. Internal medicine residency and cardiovascular disease fellowship at Cleveland Clinic. Interventional cardiology fellowship at Beth Israel Deaconess Medical Center, Harvard Medical School. JD cum laude from Georgetown Law. LLM in Artificial Intelligence Law and Regulation from Berkeley Law, Dean's Circle.

Over two decades of clinical practice in interventional, structural, and vascular cardiology, with current part-time clinical work at Hays Medical Center in Kansas. Founding partner of a community interventional cardiology practice in Florida and prior principal investigator for device and interventional cardiology trials. The clinical work continues, which means the questions Tercet advises on are not abstractions.

Chief Executive Officer of Nectara, an AI-driven neurodiagnostics company whose FDA-pending PASCOM algorithm detects epileptogenic foci on PET and MRI imaging to reduce surgical delays in epilepsy care. Also active in two additional AI-enabled healthcare ventures in workflow automation and precision health. The regulatory, liability, and operational questions Tercet advises other organizations on are questions we are navigating in real time across multiple product contexts rather than recalling from a previous career.

Based in Santa Fe, New Mexico. Working with clients nationally.

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How We Are Different

Most advisory firms in this space approach AI from a single discipline, carrying the blind spots that come with it. A law firm will map your liability exposure without understanding how the underlying system actually makes decisions. A technology consultancy will build your monitoring infrastructure without anticipating what a plaintiff's attorney will request in discovery. The organizations we advise need someone who can hold all those considerations in a single conversation without losing altitude. That is what the convergence of clinical, legal, and technical experience makes possible, and it is what allows us to carry an engagement from strategic design through operational implementation rather than handing off a framework and walking away.

Tercet Advisory operates as a boutique practice by design. Every engagement draws on direct senior judgment applied to the specific clinical, legal, and technical context of the client's problem. All advisory work flows directly through the principal. For engagements that require specialized technical implementation or domain-specific research, we draw on a vetted network of collaborators, but the intellectual direction and client relationship remain with Dr. Seshadri throughout.

Independence and Conflicts

Tercet Advisory is operated by a principal who actively runs AI-enabled healthcare companies. That is the source of the firm's judgment and also its most important disclosure. Advising organizations on AI governance while building AI products in adjacent markets creates a conflict question that cannot be waved away with a standard engagement letter, and addressing it directly is part of how we define the work.

We will not accept an engagement where our existing ventures sell into, or plan to sell into, the client's defined market segment. At the outset of every diligence or advisory discussion, we disclose the current product scope and commercial focus of each affiliated venture in writing. Where a potential overlap exists, we decline the engagement or, if the client prefers, scope the work to exclude the overlapping domain. Confidential information received in an advisory engagement is never used in any affiliated venture, and we maintain information barriers that reflect that obligation rather than merely assert it.

For clients who require a deeper structural review — boards, general counsel offices, and private equity diligence teams in particular — we are prepared to share redacted documentation of our conflict screening process, our information barrier protocols, and our engagement decline history. Independence is not a claim on a website. It is a set of decisions made repeatedly, and we treat it that way.

What the Name Means

A tercet is a three-line unit in poetry, the architecture of Dante's terza rima, where each tercet interlocks with the next to sustain forward motion across a continuous argument. The name reflects both the three disciplines that converge in our work and the conviction that governance, like verse, must cohere as a structure or it does not hold.