MD Samuel G Putnam III, NPI 1023066404
Vascular & Interventional Radiology Physician in Southaven, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1023066404
NPI Entity Type Individual
Provider Name MD Samuel G Putnam III
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 55 Physicians Ln, Southaven, MS, US
Provider Mailing Address 26500 Agoura Rd Ste 102-587, Calabasas, CA, US, 913021952
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0204X

Taxonomy Name Vascular & Interventional Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. 28916
License State MS
Description A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Business Address

MD Samuel G Putnam III
55 Physicians Ln

Southaven, MS, US

Phone: 662-655-2136
Fax: 662-996-2214

Mailing Address

MD Samuel G Putnam III
26500 Agoura Rd Ste 102-587
Calabasas, CA, US
ZIP 913021952
Phone: 818-880-8605
Fax: 818-579-7916

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
8215722 PA CIGNA HMO/PPO 01
1172545 PA AETNA HMO 01
0546464000 PA IBC - PC/KHPE 01
710371 PA HIGHMARK BLUE SHIELD 01
0012723560016 PA MEDICAID 05
0546464000 PA AMERIHEALTH/INTERCOUNTY 01
30026885 PA KEYSTONE MERCY 01
300099781 PA RRM 01
7929044 PA AETNA PPO 01

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