Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Srouji

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003376880

Derek Srouji is an Interventional Cardiology in Tulsa, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 2019, 7 years ago. Registered with an NPI since 2019.

Years since qualifying
7
Trained at
Oklahoma State University College of Osteopathic Medicine
In the registry since
2019
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Practice location Address checks out

744 W 9th St
Tulsa, OK 74127-9020
Phone: (405) 323-9423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1003376880
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024
Mailing address717 S Houston Ave Ste 400, Tulsa, OK 74127-9007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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