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

Lake Cardiovascular Institute, PC

Organization Cardiovascular Disease Physician · NPI 1578584587

Lake Cardiovascular Institute, PC is a Cardiovascular Disease Physician in Osage Beach, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1191 Highway Kk Ste 300
Osage Beach, MO 65065-3510
Phone: (573) 302-2275
Fax: (573) 302-2281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence R5P38 (MO)

Record details

NPI number1578584587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Muthu Krishnan — Md · (573) 302-2275
NPI enumeratedJuly 22, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1836 Lackland Hill Pkwy, Attnt Credentialing Dept, Saint Louis, MO 63146-3572

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