OrganizationActive
Evolve Abq Professional Corporation
NPI 1952293466 · Primary Care Clinic/Center · Albuquerque, NM
Provider details
- NPI number
- 1952293466
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lida Fatemi, Practitioner(404) 272-6088
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
4550 Eubank Blvd Ne Ste 107
Albuquerque, NM 87111-2565
Phone: (505) 616-0915
Approximate (ZIP-level) locationGet directions
Mailing address
4550 Eubank Blvd Ne Ste 108
Albuquerque, NM 87111-2565
Registry dates
- Enumerated
- 2025-07-18
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.