Healthcare Provider Details

I. General information

NPI: 1831010503
Provider Name (Legal Business Name): NEUROPRO INTEGRATED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11518 N FRONTAGE RD
YUMA AZ
85367-8994
US

IV. Provider business mailing address

10635 E 39TH LN
YUMA AZ
85365-6001
US

V. Phone/Fax

Practice location:
  • Phone: 928-342-6500
  • Fax: 928-342-6863
Mailing address:
  • Phone: 928-271-1307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: MOHAMED E. ELKOTB
Title or Position: OWNER
Credential: MD
Phone: 602-524-7701