Individual provider · Type 1 NPI

Samira Kanetkar, DO

Student in an Organized Health Care Education/Training Program · Hollywood, FL

NPI number 1639010143 Active

Practice location

3501 Johnson St
Hollywood, FL 33021-5421

Call (954) 987-2000 Map

Mailing address

745 Milton Oaks Dr
Johns Creek, GA 30022-8194

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

479 other providers at this address

Other student in an organized health care education/training program providers in Hollywood

See all in Hollywood →

About NPI 1639010143

Samira Kanetkar, DO's National Provider Identifier is 1639010143, issued on Apr 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hollywood, FL. The record was last updated on Apr 1, 2026.