Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vishnu Pemmaraju, MD

Organization Surgery Physician · NPI 1104629732

Vishnu Pemmaraju, MD is a Surgery Physician in Wayne, Michigan. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

3106 S Wayne Rd
Wayne, MI 48184-1221
Phone: (734) 722-6300
Fax: (734) 722-4815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1104629732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vishnu Pemmaraju — Owner · (248) 635-5038
NPI enumeratedMarch 29, 2025
Last updated in NPPESMarch 29, 2025
Certification dateMarch 29, 2025
Mailing address3106 S Wayne Rd, Wayne, MI 48184-1221

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