Provider Demographics
NPI:1972362002
Name:RT CLINICS LLC
Entity type:Organization
Organization Name:RT CLINICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SIDHARTH
Authorized Official - Middle Name:
Authorized Official - Last Name:THUMMALAPALLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-525-8048
Mailing Address - Street 1:702 COMMERCE DR STE 140
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-5239
Mailing Address - Country:US
Mailing Address - Phone:571-525-8048
Mailing Address - Fax:
Practice Address - Street 1:702 COMMERCE DR STE 140
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-5239
Practice Address - Country:US
Practice Address - Phone:571-525-8048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty