Whalio Doctors

NPI 1023066404

Samuel Grady Putnam, MD

Practitioner Vascular & Interventional Radiology Physician Southaven, MS

Practice location

Address
55 Physicians Ln, Southaven, MS 38671-9569
Phone
(662) 655-2136
Fax
(662) 996-2214
Mailing address
26500 Agoura Rd STE 102-587, Calabasas, CA 91302-1952

Registered specialties (9)

Vascular & Interventional Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence 28916 (MS)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 25MA09575600 (NJ)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD041221E (PA)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence C1-0011573 (DE)
Vascular & Interventional Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence MD041221E (PA)
Vascular & Interventional Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence 25MA09575600 (NJ)
Vascular & Interventional Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence 63241 (TN)
Vascular & Interventional Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence MD-23034 (HI)
Vascular & Interventional Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence C1-0011573 (DE)

Registry record

NPI
1023066404
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 May 2006
Record last updated
6 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.