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

Samuel Grady Putnam is a Vascular & Interventional Radiology Physician based in Calabasas, MS and is specialized in Vascular & Interventional Radiology. Samuel Grady Putnam practices in Southaven, MS and has the professional credentials of MD. The NPI Number for Samuel Grady Putnam is 1023066404 and holds a License No. 25MA09575600 (Mississippi).

The current practice location address for Samuel Grady Putnam is 55 Physicians Ln, Southaven, MS and can be reached out via phone at 662-655-2136 and via fax at 662-996-2214.

Location: 55 Physicians Ln, Southaven, MS, 91302-1952
person
Provider Profile Details
NPI Number
1023066404
Provider Name
Samuel Grady Putnam
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
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
300099781 01 PA RRM
8215722 01 PA CIGNA HMO/PPO
710371 01 PA HIGHMARK BLUE SHIELD
0546464000 01 PA AMERIHEALTH/INTERCOUNTY
0546464000 01 PA IBC - PC/KHPE
1172545 01 PA AETNA HMO
30026885 01 PA KEYSTONE MERCY
7929044 01 PA AETNA PPO
0012723560016 05 PA
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.
MD041221E (Pennsylvania)
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.
25MA09575600 (New Jersey)
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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