Family name Ephram (Ephram 
) , in the world, is quite a rare surname. The cognomen Ephram is habitual in Lebanon, where it is quite a rare surname, Ethiopia, where it is a rare surname, and Nigeria. Likewise, Ephram is the forename as well as the last name.
| VARIANT | COUNTRY |
|---|---|
| Ephram | Ethiopia, Lebanon, Kenya, Nigeria, Democratic Republic of the Congo |