Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evgeniy Anatoliy Koshkarov, MD

Individual provider Military Health Care Provider · NPI 1881398865

Evgeniy Anatoliy Koshkarov, MD is a Psychiatry in Wilmington, North Carolina. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2131 S 17th St
Wilmington, NC 28401-7407
Phone: (910) 667-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 — (910) 450-4357

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2024-02749 (NC)
Military Health Care Provider Taxonomy 171000000X · Licence RTL24-0243 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1881398865
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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