Individual provider · Type 1 NPI

Kenn Vattathara, MD

Psychiatry Physician · Munster, IN

NPI number 1114500592 Active

Practice location

720 45th St
Munster, IN 46321-2818

Fax (219) 852-2443

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X036172806 (IL)
Psychiatry Physician Primary 2084P0800X01095510A (IN)

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1114500592

Kenn Vattathara, MD's National Provider Identifier is 1114500592, issued on May 3, 2021. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Munster, IN. The record was last updated on Jul 24, 2025.