<?xml version="1.0" encoding="UTF-8"?>
<sitemapindex xmlns="http://www.sitemaps.org/schemas/sitemap/0.9">
  <!-- Main Sitemap - Core pages, procedures, and navigation -->
  <sitemap>
    <loc>https://www.navmds.com/sitemap.xml</loc>
    <lastmod>2024-12-19</lastmod>
  </sitemap>
  
  <!-- Doctors Sitemap - All 7,476 doctor profiles -->
  <sitemap>
    <loc>https://www.navmds.com/doctors.xml</loc>
    <lastmod>2024-12-19</lastmod>
  </sitemap>
  
  <!-- State-Specific Sitemap - Focused on state doctor pages -->
  <sitemap>
    <loc>https://www.navmds.com/state-sitemap.xml</loc>
    <lastmod>2024-12-19</lastmod>
  </sitemap>

  <!-- Updated Doctors - Profiles with recent approved reviews/costs (auto-prunes after 30 days) -->
  <sitemap>
    <loc>https://www.navmds.com/updated-doctors.xml</loc>
    <lastmod>2026-03-17</lastmod>
  </sitemap>
</sitemapindex>
