Organization
HAVEN OBGYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKITA MISHRA MD (MD OWNER)
(916) 269-8865
Entity
Organization
Contact information
Practice address
1600 CREEKSIDE DR STE 3100, FOLSOM, CA 95630-3486
(916) 269-8865
(916) 265-9659
Mailing address
6091 EDGEHILL DR, EL DORADO HILLS, CA 95762-5475
(916) 269-8865
(916) 265-9659
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/28/2025
Last updated
01/28/2026
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