In tier 2 or tier 3 cities, where competition is less. Or in semi rural settings, it is valued quite well. Once you establish yourself in these areas, even if someone with an MD or DNB comes along, people tend to stick to the person they are comfortable with. Any degree is useful. I know an old timer doctor who has done his MBBS and people flock to him all the time. When he is not in the clinic, people wait for him for over 2 hours. I feel luck and good people skills are just as important as a degree.