VISHNU PEMMARAJU, MD - NPI 1104629732 - Colon & Rectal Surgery in Wayne, MI

Q: What is Vishnu Pemmaraju, MD's NPI number?

The NPI number for Vishnu Pemmaraju, MD is 1104629732. It was assigned to this organization in the NPPES registry on March 29, 2025.

Q: What is Vishnu Pemmaraju, MD's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

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About Vishnu Pemmaraju, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISHNU PEMMARAJU, MD (NPI 1104629732) is a healthcare organization registered as a colon & rectal surgery in Wayne, Michigan and active in the NPI registry since March 2025. The organization lists Vishnu Pemmaraju, Owner, as its authorized official.

NPPES Registry Identity

NPI1104629732

Entity TypeOrganization

Primary Taxonomy208C00000X

Legal Business NameVISHNU PEMMARAJU, MD

Location Address3106 S WAYNE RDWayne, MI 48184-1221

Mailing Address3106 S Wayne RdWayne, MI 48184-1221 · (734) 722-6300 · Fax (734) 722-4815

Phone(734) 722-6300

Fax(734) 722-4815

Organization SubpartNo

Authorized OfficialVishnu PemmarajuOwner · (248) 635-5038

Enumeration DateMarch 29, 2025

NPPES CertifiedMarch 29, 2025

✔ NPI 1104629732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X

3106 S WAYNE RD, Wayne, MI 48184

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OLUFUNKE M ADEYEMO M.D.

Pediatrics