Gilan is an isolated and mountainous region in northern Iran. Because of its geography and location, in the medieval and early modern era Gilan came to be identified by historians as a land of refuge and dissent. Generally speaking, Gilan has remained less celebrated for its contribution to the medieval and early modern production of knowledge in the Islamicate world. However, Gilanis did not remain isolated and secluded in their own lands. They ventured outside their homeland and came to positions of power and prominence in other locales, including at the Deccan and Mughal courts in India. While the general migration of Iranians to India has received scholarly attention, the migration of Gilanis, and more specifically Gilani physicians, has secured less consideration. One such physician is Hakim Masih al-Din Abu al-Fath Gilani (1547-1589), son of the Kiyayi vizier Mowlana Abd al-Razzaq Gilani. Mowlana Abd al-Razzaq was executed by the Safavid Shah Tahmasb I, and this event encouraged Hakim Abu al-Fath Gilani to migrate to India along with two of his brothers. Hakim Abu al-Fath came to serve the court of Akbar (r.1556-1605). An extant collection of letters attributed to Hakim Abu al-Fath, Roqa‘at-e Hakim Abu al-Fath Gilani, is a valuable source that illuminates the importance of his personal and professional networks. While Gilani’s letters have been studied for their significance related to important Mughal political developments, less attention has been paid to their importance in enriching our understanding of inter- and intraregional intellectual and material exchanges among scholars, poets, and physicians. During his lifetime, Hakim Abu al-Fath was instrumental in establishing a nexus enabling important exchanges of a material and intellectual nature among scholars.