Search › Mississippi › Vascular & Interventional Radiology Physician
Samuel Putnam, MD
NPI 1023066404 · on the registry since 2006
Practice
- Address
- 55 Physicians Ln
Southaven, MS 38671 - Phone
- (662) 655-2136
- Fax
- (662) 996-2214
- Organisation at this address
- The Neurosurgical Center
Modern Vascular Of Southaven, Llc
Anesthesia Services Associates, Pllc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 750 Brunswick Ave, Trenton, NJ
- 1120 15th St, Augusta, GA
- 1 Capital Way, Pennington, NJ
Registry record
- Primary taxonomy
- Vascular & Interventional Radiology Physician
2085R0204X
- Also registered as
- Diagnostic Radiology Physician
Diagnostic Radiology Physician
Diagnostic Radiology Physician
Vascular & Interventional Radiology Physician
Vascular & Interventional Radiology Physician
Vascular & Interventional Radiology Physician
Vascular & Interventional Radiology Physician
Vascular & Interventional Radiology Physician - Licence states on file
- NJ, PA, DE, TN, HI, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi