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

Individual provider Internal Medicine Physician · NPI 1447630033

Ugochukwu Ikechi Maduforo, MD is an Internal Medicine in Longview, Texas. Qualified in 2009, 17 years ago. Practices with Grand Traverse Physician Services PC, a 123-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
17
Licensed in
TX
In the registry since
2015
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

700 E Marshall Ave
Longview, TX 75601-5580
Phone: (903) 315-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence R7808 (TX)

Record details

NPI number1447630033
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2015
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Grand Traverse Physician Services Pc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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