MEDICARE: EPIONIQUE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1235028697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EPIONIQUE PLLC

Provider Business Mailing Address
First Line	:	PO BOX 5254
Second Line	:
City	:	POLAND
State	:	OH
Zip	:	44514-0254
Country	:	US
Telephone Number	:	681-224-0660
Fax Number	:	304-718-5133

Provider Business Practice Location Address
First Line	:	32 PIONEER LN
Second Line	:
City	:	SUMMERSVILLE
State	:	WV
Zip	:	26651-1889
Country	:	US
Telephone Number	:	681-224-0660
Fax Number	:	304-718-5133

Authorized Official
Title or Position	:	OWNER
Name	:	NIHIT GUPTA
Credential	:	MD
Telephone Number	:	513-360-8216

Provider Enumeration Date	:	07/01/2025
Last Update Date	:	02/11/2026

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Directions to “EPIONIQUE PLLC ” Practice Location

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