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

Individual provider Gastroenterology Physician · NPI 1790344893

Supisara Tintara, MD is a Gastroenterology in Spokane, Washington. Graduated from Vanderbilt University School of Medicine in 2019, 7 years ago. Licensed in Washington.

Years since qualifying
7
Trained at
Vanderbilt University School of Medicine
Licensed in
WA
In the registry since
2019
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

212 E Central Ave Ste 245
Spokane, WA 99208-6289
Phone: (509) 489-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD.MD.70119872 (WA)

Record details

NPI number1790344893
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2019
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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