Healthcare Provider Details

I. General information

NPI: 1205595360
Provider Name (Legal Business Name): FACULTY PHYSICIANS KNOXVILLE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2021
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 OLD WEISGARBER RD STE 350
KNOXVILLE TN
37909-1381
US

IV. Provider business mailing address

1415 OLD WEISGARBER RD STE 350
KNOXVILLE TN
37909-1381
US

V. Phone/Fax

Practice location:
  • Phone: 865-588-1605
  • Fax: 865-588-1608
Mailing address:
  • Phone: 865-588-1605
  • Fax: 865-588-1608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL
# 6
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: TULIKA VOHRA
Title or Position: ADMINISTRATOR
Credential:
Phone: 865-588-1605