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

Daniel Nethala, MD

Individual provider Urology Physician · NPI 1104359272

Daniel Nethala, MD is an Urology in Gilbert, Arizona. Qualified in 2017, 9 years ago. Practices with Banner Cancer Center Specialists LLC, a 338-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2017
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

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone: (480) 256-6444
Fax: (480) 256-3682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 76587 (AZ)

Record details

NPI number1104359272
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2017
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing address2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Banner Cancer Center Specialists Llc — 338 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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