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 provides Cardiovascular Disease Physician services 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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