Provider Demographics
NPI:1861457244
Name:GHRAMM, JOHN W (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:W
Last Name:GHRAMM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 W JUBAL EARLY DRIVE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6319
Mailing Address - Country:US
Mailing Address - Phone:540-450-2706
Mailing Address - Fax:
Practice Address - Street 1:440 W JUBAL EARLY DRIVE
Practice Address - Street 2:SUITE 240
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6319
Practice Address - Country:US
Practice Address - Phone:540-450-2706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101028049207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B08989Medicare UPIN
VAVV1418AMedicare PIN
VA00W249G01Medicare ID - Type Unspecified