Provider Demographics
NPI:1700292521
Name:BORRA, DILEEP (MD, FAPA)
Entity type:Individual
Prefix:DR
First Name:DILEEP
Middle Name:
Last Name:BORRA
Suffix:
Gender:M
Credentials:MD, FAPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1052 OAK FOREST DR STE 360
Mailing Address - Street 2:
Mailing Address - City:ONALASKA
Mailing Address - State:WI
Mailing Address - Zip Code:54650-3713
Mailing Address - Country:US
Mailing Address - Phone:608-860-3357
Mailing Address - Fax:608-881-6800
Practice Address - Street 1:1052 OAK FOREST DR STE 360
Practice Address - Street 2:
Practice Address - City:ONALASKA
Practice Address - State:WI
Practice Address - Zip Code:54650-3713
Practice Address - Country:US
Practice Address - Phone:608-860-3357
Practice Address - Fax:608-881-6800
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI686442084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry