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

Lara Antonios, MD

Individual provider Nuclear Imaging & Therapy Physician · NPI 1699338871

Lara Antonios, MD is a Diagnostic Radiology in Baltimore, Maryland. Qualified in 2013, 13 years ago. Practices with University Imaging Center, LLC, a 57-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
13
Licensed in
MD
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

22 S Greene St
Baltimore, MD 21201-1544
Phone: (410) 328-8667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence D92704 (MD)
Nuclear Imaging & Therapy Physician Taxonomy 207UN0902X · Licence D92704 (MD)

Record details

NPI number1699338871
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 15, 2019
Last updated in NPPESJuly 26, 2023
Certification dateJuly 25, 2023
Mailing address22 S Greene St # S2a19, Baltimore, MD 21201-1544

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice University Imaging Center, Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Baltimore