Provider Demographics
NPI:1821055740
Name:ROSS-HEBRON, YVETTE C (MD)
Entity Type:Individual
Prefix:DR
First Name:YVETTE
Middle Name:C
Last Name:ROSS-HEBRON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:C
Other - Last Name:ROSS-HEBRON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:12200 TECH ROAD SUITE 335
Mailing Address - Street 2:THE DOCTORS POINT
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1961
Mailing Address - Country:US
Mailing Address - Phone:301-622-7170
Mailing Address - Fax:301-622-7171
Practice Address - Street 1:12200 TECH ROAD SUITE 335
Practice Address - Street 2:THE DOCTORS POINT
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1961
Practice Address - Country:US
Practice Address - Phone:301-622-7170
Practice Address - Fax:301-622-7171
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDOO54884208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDHO3236Medicare UPIN