person
Samuel G Putnam III, MD
Vascular & Interventional Radiology Physician in Southaven, Mississippi
NPI 1023066404

Samuel G Putnam III is a Vascular & Interventional Radiology Physician based in Calabasas, MS and is specialized in Vascular & Interventional Radiology. Samuel G Putnam III practices in Southaven, MS and has the professional credentials of MD. The NPI Number for Samuel G Putnam III is 1023066404 and holds a License No. MD041221E (Mississippi).

The current practice location address for Samuel G Putnam III is 55 Physicians Ln, Southaven, MS and can be reached out via phone at 662-655-2136 and via fax at 662-996-2214. You can also correspond with Samuel G Putnam III through the mailing address at 26500 AGOURA RD STE 102-587, CALABASAS, CA - 91302-1952 (mailing address contact number: 818-880-8605).

Location: 55 Physicians Ln, Southaven, MS, 91302-1952
person
Provider Profile Details
NPI Number
1023066404
Provider Name
Samuel G Putnam III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Physicians Ln, Southaven, MS, 91302-1952
Phone Number
662-655-2136
Fax Number
662-996-2214
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8215722 01 PA CIGNA HMO/PPO
1172545 01 PA AETNA HMO
0546464000 01 PA IBC - PC/KHPE
710371 01 PA HIGHMARK BLUE SHIELD
0012723560016 05 PA
0546464000 01 PA AMERIHEALTH/INTERCOUNTY
30026885 01 PA KEYSTONE MERCY
300099781 01 PA RRM
7929044 01 PA AETNA PPO
institution
Provider Business Practice Location Address Details
Address
55 Physicians Ln
City
State
Zip
38671-9569
Phone Number
662-655-2136
Fax Number
662-996-2214
person
Provider Business Mailing Address Details
Address
55 Physicians Ln
City
State
Zip
38671-9569
Phone Number
662-655-2136
Fax Number
662-996-2214
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
C1-0011573 (Delaware)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
MD041221E (Pennsylvania)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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