Provider Demographics
NPI:1275685166
Name:AMPOMAH, JOHN K (MD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:K
Last Name:AMPOMAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7101 JAHNKE RD
Mailing Address - Street 2:SUITE 611
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4017
Mailing Address - Country:US
Mailing Address - Phone:804-327-4046
Mailing Address - Fax:804-323-8180
Practice Address - Street 1:7101 JAHNKE RD
Practice Address - Street 2:SUITE 611
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4017
Practice Address - Country:US
Practice Address - Phone:804-327-4046
Practice Address - Fax:804-323-8180
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN41927207R00000X
VA0101246488207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00811050OtherRAILROAD MEDICARE
VA1275685166Medicaid
TN3834086Medicaid
4146352OtherBCBS
VA1275685166Medicaid
TN3834086Medicaid