Individual
DR. VISHNU TEJA PEMMARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3106 S WAYNE RD, WAYNE, MI 48184-1221
(734) 722-6300
(734) 722-4815
Mailing address
3106 S WAYNE RD, WAYNE, MI 48184-1221
(734) 722-6300
(734) 722-4815
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301510107
MI
208C00000X
Colon & Rectal Surgery Physician
Primary
4301510107
MI
Other
Enumeration date
06/14/2017
Last updated
01/30/2026
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