Pemmaraju, Vishnu Teja
Pemmaraju, Vishnu Teja is an individual health care provider with primary practice located at 3601 W 13 Mile Rd , Royal Oak MI 48073-6712. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Pemmaraju, Vishnu Teja can be contacted via phone (248) 898-2673.Contact Information
Primary practice address
3601 W 13 Mile Rd
Royal Oak MI 48073-6712
Phone: (248) 898-2673
Fax: (248) 898-1517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301510107 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4351049461 | Michigan |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 4301510107 | Michigan |
Profile Details
| NPI number | 1306376173 |
|---|---|
| LBN Legal business name | Pemmaraju, Vishnu Teja |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2017 |
| Last updated | Jul 29th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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