Provider Demographics
NPI:1457407702
Name:SWEET, PATRICK HENRY III (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:HENRY
Last Name:SWEET
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 PIO PICO ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-3236
Mailing Address - Country:US
Mailing Address - Phone:619-204-6927
Mailing Address - Fax:
Practice Address - Street 1:463 N MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-3606
Practice Address - Country:US
Practice Address - Phone:619-900-6958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA101827207Q00000X, 207RG0100X, 207ZP0101X, 208600000X, 207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program