# SULA MAZIMBA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023000809
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 35085788M | OH | — |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | 0101256847 | VA | — |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | ME161996 | FL | Yes |
| 207RC0000X | Cardiovascular Disease Physician | 0101256847 | VA | — |

## Other

- **Enumeration date:** 08/18/2005
- **Last updated:** 06/29/2023