July 10, 2019

Stephen Snyder
Chief Executive Officer
MTBC, Inc.
7 Clyde Road
Somerset, New Jersey 08873

       Re: MTBC, Inc.
           Registration Statement on Form S-3
           Filed July 1, 2019
           File No. 333-232493

Dear Mr. Snyder:

       This is to advise you that we have not reviewed and will not review your
registration
statement.

        Please refer to Rules 460 and 461 regarding requests for acceleration.
We remind you
that the company and its management are responsible for the accuracy and
adequacy of their
disclosures, notwithstanding any review, comments, action or absence of action
by the staff.

       Please contact Folake Ayoola, Special Counsel, at 202-551-3673 with any
questions.



                                                            Sincerely,

                                                            Division of
Corporation Finance
                                                            Office of
Information Technologies
                                                            and Services
cc:    David Song