Organization
EPIONIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYANK GUPTA MD (OWNER)
(513) 360-8216
Entity
Organization
Contact information
Practice address
32 PIONEER LN, SUMMERSVILLE, WV 26651-1889
(814) 661-8499
Mailing address
PO BOX 5254, POLAND, OH 44514-0254
(513) 360-8216
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/21/2025
Last updated
07/03/2025
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