Individual provider · Type 1 NPI

Alisa Khomutova, MD

Surgery Physician · Knoxville, TN

NPI number 1659908960 Active

Practice location

1924 Alcoa Hwy
Knoxville, TN 37920-1511

Mailing address

7924 Woodman Ave Unit 12
Panorama City, CA 91402-6225

Other practice locations

  • 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3202 · (760) 837-8601

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XA211626 (CA)
Surgery Physician Primary 208600000X73554 (TN)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1659908960

Alisa Khomutova, MD's National Provider Identifier is 1659908960, issued on Mar 25, 2020. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Knoxville, TN. The record was last updated on Sep 18, 2026.