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TARIK ITUM
NPI 1023903408
Student in an Organized Health Care Education/Training Program in Marietta, GA

Active since June 09, 2025
3713 WILLOW WIND DR, MARIETTA, GA 30066(678) 995-9694 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tarik Itum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARIK ITUM (NPI 1023903408) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1023903408
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTARIK ITUM
Location Address3713 WILLOW WIND DRMarietta, GA 30066-2989
Mailing Address3713 Willow Wind DrMarietta, GA 30066-2989
Phone(678) 995-9694
Sole ProprietorNo
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
✔ NPI 1023903408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
3713 WILLOW WIND DR, Marietta, GA 30066
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tarik Itum's NPI number?

The NPI number for Tarik Itum is 1023903408. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Tarik Itum located?

Tarik Itum practices at 3713 Willow Wind Dr, Marietta, GA 30066. The listed phone number is (678) 995-9694.

What is Tarik Itum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tarik Itum was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.