Dr. Nagra joined the Manipal Group in 1995 after taking a premature retirement from the Armed Forces Medical College, Pune. He was the founder, Dean and Director of Manipal College of Medical Sciences, Nepal. In a span of 8 years, the college and its associated Manipal Teaching Hospital were recognized as centers of excellence in the region. At the same time, he helped Kathmandu University in establishing the Faculty of Medicine as member of the University Senate, Academic Council and Faculty Board.
The experience and expertise that Dr. Nagra acquired in healthcare and medical education make him capable of succeeding at both his administrative and academic responsibilities. From Nepal, he moved to Malaysia as Dean, Melaka-Manipal Medical College. He was concurrently appointed Pro Vice Chancellor, Manipal University, India. Thereafter he served as Principal Officer for the Manipal Group's International Campus Operations and Chief Executive, Manipal Health Systems.
