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NPI Code Detail

MEDICARE: DR. ANDREW J PUTNAM MD

MEDICARE: DR. ANDREW J PUTNAM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician01081233AIN
2390200000XStudent in an Organized Health Care Education/Training Program4301102811MI
3207RC0000XCardiovascular Disease Physician036.139760IL

General Provider Information

NPI Number : 1649616582
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW J PUTNAM MD
Provider Business Mailing Address
First Line : 2022 KELLE DR
Second Line :
City : CHESTERTON
State : IN
Zip : 46304-8708
Country : US
Telephone Number : 219-364-3616
Fax Number : 219-364-3610
Provider Business Practice Location Address
First Line : 10855 VIRGINIA ST
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-0210
Country : US
Telephone Number : 888-824-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2013
Last Update Date : 11/10/2025

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