Healthcare Provider Details

I. General information

NPI: 1316266885
Provider Name (Legal Business Name): RESHMA BABRA NAIDOO PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RESHMA BABRA RAMSINGH

II. Dates (important events)

Enumeration Date: 05/24/2010
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3340 PROVIDENCE DR STE A565
ANCHORAGE AK
99508-4691
US

IV. Provider business mailing address

PO BOX 31001-4162
PASADENA CA
91110-4162
US

V. Phone/Fax

Practice location:
  • Phone: 907-212-8477
  • Fax:
Mailing address:
  • Phone: 866-747-2455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number34663
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY9455
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPY9455
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number220656
License Number StateAK
# 5
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberPY9455
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: