MEDICARE: MEDTECH NEURO MEDICAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1255284394
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDTECH NEURO MEDICAL PLLC

Provider Business Mailing Address
First Line	:	2283 S MONACO PKWY STE 105
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-5845
Country	:	US
Telephone Number	:	720-531-2370
Fax Number	:

Provider Business Practice Location Address
First Line	:	2283 S MONACO PKWY STE 105
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-5845
Country	:	US
Telephone Number	:	720-531-2370
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	HOSSAM BADRAWY
Credential	:
Telephone Number	:	631-893-9297

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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