MEDICARE: NEURO HEART LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center
2	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1861206138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEURO HEART LLC

Provider Business Mailing Address
First Line	:	2727 ASBURY RD STE 102
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37914-6446
Country	:	US
Telephone Number	:	716-948-6754
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 ASBURY RD STE 102
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37914-6446
Country	:	US
Telephone Number	:	716-948-6754
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MUHAMMAD W MASUD
Credential	:	MD
Telephone Number	:	716-948-6754

Provider Enumeration Date	:	02/05/2025
Last Update Date	:	09/17/2025

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