IndividualActive
Tomislav Jelic, MD
NPI 1609802511 · Anatomic Pathology Physician · Charleston, WV
Provider details
- NPI number
- 1609802511
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 17984 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3200 Maccorkle Avenue Se
Pathology Department
Charleston, WV 25304
Phone: (304) 388-5550
Fax: (304) 388-4352
Approximate (ZIP-level) locationGet directions
Mailing address
415 Morris Street
Charleston, WV 25301
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2010-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.