Provider Demographics
NPI:1801397468
Name:DOCKERY, AMRIT KAUR (DO)
Entity type:Individual
Prefix:
First Name:AMRIT
Middle Name:KAUR
Last Name:DOCKERY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2514 E 15TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4655
Mailing Address - Country:US
Mailing Address - Phone:918-393-8900
Mailing Address - Fax:918-393-8900
Practice Address - Street 1:2514 E 15TH ST STE A
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4655
Practice Address - Country:US
Practice Address - Phone:918-393-8900
Practice Address - Fax:918-393-8900
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6644207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program