Samip Jayantilal Borad, M.B.B.S., MD, MHA

Psychiatry & Neurology, Neurology in Lake Mary, FL. Individual provider (NPI-1).

NPI number1033353081

StatusActive

Last updated in NPPESNov 10, 2025

Details

NPI: 1033353081
Entity type: Individual (NPI-1)
Name: Samip Jayantilal Borad
Credential: M.B.B.S., MD, MHA
Sex: Male
Sole proprietor: Yes
Enumeration date: Apr 21, 2009
Certification date: Nov 10, 2025
Last updated: Nov 10, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084N0400X	Psychiatry & Neurology, Neurology	ME155726	FL	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–
390200000X	Student in an Organized Health Care Education/Training Program	0116022715	VA
2084N0400X	Psychiatry & Neurology, Neurology	25730	WV
390200000X	Student in an Organized Health Care Education/Training Program	–	NC

Practice location

755 Stirling Center Pl
Lake Mary, FL 32746-5714

Phone 407-333-1718

Mailing address

755 Stirling Center Pl
Lake Mary, FL 32746-5714

Phone 407-333-1718 · Fax 407-333-1633

Other practice locations

415 Morris St
Suite 300
Charleston, WV 25301-1842

Phone 304-388-6441

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatry & Neurology, Neurology providers in Lake Mary, FL

Checking a whole list?

Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check